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Individual

ERNEST LEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BUSINESS OWNER

Contact information

Practice address
27 PECAN CIR, YORK, SC 29745-1471
(803) 526-0630
Mailing address
27 PECAN CIR, YORK, SC 29745-1471
(803) 526-0630

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24127305
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4781184772
SC
05
958708783-00
SC
05
979716620-00
SC
Enumeration date
09/20/2018
Last updated
09/20/2018
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