Individual
SAMANTHA GRACE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ALLEN CT, NORTH AUGUSTA, SC 29860-9782
(803) 510-0007
Mailing address
745 CRESTWOOD PKWY, EVANS, GA 30809-0958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN292487
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.29415
SC
363LP0200X
Pediatric Nurse Practitioner
RN292487
GA
Other
Enumeration date
05/29/2024
Last updated
01/03/2025
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