Individual
MRS. BEVERLY ELAINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4882 SOCASTEE BLVD STE 201, MYRTLE BEACH, SC 29588-7245
(843) 668-2744
(843) 668-2742
Mailing address
4882 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 668-2744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18928
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306907613
NPI
SC
Enumeration date
07/22/2014
Last updated
12/31/2021
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