Individual
MELISSA ANN MIARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3617 CASEY ST STE C, LORIS, SC 29569
(843) 716-7911
(843) 716-7918
Mailing address
3617 CASEY ST STE C, LORIS, SC 29569-2981
(843) 716-7911
(843) 716-7918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140060
IL
207RP1001X
Pulmonary Disease Physician
Primary
82104
SC
208M00000X
Hospitalist Physician
036140060
IL
Other
Enumeration date
05/07/2013
Last updated
07/01/2019
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