Individual
DR. JOHN A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1209 N FRASER ST, GEORGETOWN, SC 29440-2853
(843) 546-5555
(843) 546-7777
Mailing address
1209 N FRASER ST, GEORGETOWN, SC 29440-2853
(843) 546-5555
(843) 546-7777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z29425
—
SC
Enumeration date
01/19/2007
Last updated
07/09/2007
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