Individual
DR. GREGORY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 WESLEY DR STE 320, CHARLESTON, SC 29407-7274
(843) 571-2939
(843) 571-4686
Mailing address
615 WESLEY DR STE 320, CHARLESTON, SC 29407-7274
(843) 571-2939
(843) 571-4686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C68839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0453
—
SC
Enumeration date
09/14/2006
Last updated
07/08/2007
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