Individual
GEORGIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-7901
Mailing address
102 HARTH PL, SUMMERVILLE, SC 29485-8107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3058
SC
Other
Enumeration date
09/07/2018
Last updated
10/29/2024
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