Individual
DR. KEITH S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4070 HIGHWAY 17, MURRELLS INLET, SC 29576-5033
(843) 652-1293
Mailing address
4070 HIGHWAY 17, MURRELLS INLET, SC 29576-5033
(843) 652-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
05
—
1801450416
—
SC
Enumeration date
04/29/2019
Last updated
04/29/2019
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