Individual
PAUL BRUCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
(864) 455-6444
(864) 455-3095
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
19348
SC
207VE0102X
Reproductive Endocrinology Physician
Primary
19348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074081
CIGNA
SC
01
—
160057691
RR MEDICARE
SC
05
—
193481
—
SC
01
—
576007863038
BCBS OF SC
SC
01
—
576007863058
BLUE CHOICE OF SC
SC
01
—
5915510
AETNA
SC
Enumeration date
05/30/2006
Last updated
10/17/2024
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