Individual
DR. MILLER WILLIAMS SHEALY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-4638
Mailing address
4491 DURANT AVE UNIT B, NORTH CHARLESTON, SC 29405-5337
(843) 377-7061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL92754
SC
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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