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Individual

HENRY JACKSON MILLER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14 MEDICAL PARK, STE 400, PEDIATRIC OUTPATIENT CENTER, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979
Mailing address
14 MEDICAL PARK, STE 400, PEDIATRIC OUTPATIENT CENTER, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL38345
SC

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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