Individual
RICHARD E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3911 B HWY 17, MURRELLS INLET, SC 29576
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 821, CHARLESTON, WV 25323-0821
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN478
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196586
MEDCOST
SC
01
—
204185222
TRICARE
SC
05
—
AN0577
—
SC
01
—
GP4376
RR MEDICARE
SC
05
—
GP4376
—
SC
01
—
P00303175
RR MEDICARE
SC
Enumeration date
05/02/2006
Last updated
05/20/2008
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