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Individual

DR. ANDREA NICOLE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
Mailing address
1383 HADLEY CIR # B-2201, MYRTLE BEACH, SC 29577-8208
(814) 528-8546

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9993
SC

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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