Individual
MRS. REBECCA HAMILTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9213A UNIVERSITY BLVD, TRIDENT EXECUTIVE VILLAGE, NORTH CHARLESTON, SC 29406
(843) 572-7123
(843) 572-7350
Mailing address
9213A UNIVERSITY BLVD, TRIDENT EXECUTIVE VILLAGE, NORTH CHARLESTON, SC 29406
(843) 572-7123
(843) 572-7350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
A243
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243
LICENSE
SC
Enumeration date
02/15/2006
Last updated
10/07/2008
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