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Individual

PROF. PETER M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
67 PRESIDENT ST, P.O. BOX 250861, CHARLESTON, SC 29425-5712
(843) 792-5547
(843) 792-7353

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37
SC

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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