Individual
ELIZABETH CHANDLER MILER RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 603-5600
Mailing address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 603-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1166407
SC
363A00000X
Physician Assistant
Primary
3451
SC
Other
Enumeration date
01/02/2020
Last updated
02/11/2020
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