Individual
CHARLENE ANNETTE SMART MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
835 AUTUMN RUN, WEDGEFIELD, SC 29168-9276
(803) 316-4137
Mailing address
835 AUTUMN RUN, WEDGEFIELD, SC 29168-9276
(803) 316-4137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8019
SC
Other
Enumeration date
01/27/2016
Last updated
11/09/2020
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