Individual
MARY ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 W FARIS RD STE 100, GREENVILLE, SC 29605-4285
(864) 455-2888
(864) 455-2885
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4292
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5153PA
—
SC
Enumeration date
01/15/2021
Last updated
08/16/2022
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