Individual
ELIZABETH LEDERE MILLER SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9500 DORCHESTER RD STE 362, SUMMERVILLE, SC 29485-4304
(843) 212-8080
(843) 212-8091
Mailing address
PO BOX 632516, CINCINNATI, OH 45263-2516
(888) 472-0043
(513) 653-4122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
4345
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5283PA
—
SC
Enumeration date
01/19/2022
Last updated
05/13/2026
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