Individual
ELIZA M MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
652 N MATTHEWS RD, LAKE CITY, SC 29560-7008
(843) 374-5119
Mailing address
PO BOX 1569, LAKE CITY, SC 29560-1569
(843) 374-5119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43292
SC
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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