Organization
GREENVILLE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L MILLER MD (OWNER)
(864) 242-5640
Entity
Organization
Contact information
Practice address
369 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 242-5872
(864) 242-5640
Mailing address
PO BOX 17527, GREENVILLE, SC 29606-8527
(864) 242-5872
(864) 242-5640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
11/28/2012
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