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Individual

MR. DOUGLAS MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT (PHYSICAL THERAPY

Contact information

Practice address
1941 SAVAGE RD, STE 300 A, CHARLESTON, SC 29407-4704
(843) 402-1495
(843) 402-1285
Mailing address
586 LONE TREE DR, MT PLEASANT, SC 29464
(843) 884-7880
(843) 884-6635

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1415
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1753
SC
05
TH1098
SC
Enumeration date
07/31/2006
Last updated
10/04/2007
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