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Individual

MS. ELISA A. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFP-C

Contact information

Practice address
138 N TRADE AVE, LANDRUM, SC 29356-1529
(864) 457-5000
Mailing address
117 CLARK RD, LANDRUM, SC 29356-8613
(864) 216-3971

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
67379877
SC

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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