Individual
DR. ROBERT L MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4606 DUKES RD, WAYCROSS, GA 31503-0632
(912) 670-9525
Mailing address
1291 FOLLY RD STE M, SUITE M, CHARLESTON, SC 29412-4115
(843) 795-5060
(843) 795-4870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00639
MEDICARE PTAN GROUP
SC
01
—
6108001
MEDICARE PTAN INDIVIDUAL
SC
Enumeration date
07/25/2007
Last updated
03/19/2018
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