Organization
UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN
Active
Other names
Division of Reproductive Endocrinology & Infertility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRUCE MILLER MD (STAFF PHYSICIAN)
(864) 455-1600
Entity
Organization
Contact information
Practice address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
(864) 455-1600
(864) 455-3095
Mailing address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
(864) 455-1600
(864) 455-3095
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
19348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193481
—
SC
Enumeration date
04/26/2006
Last updated
08/22/2020
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