Individual
TAMMY RENEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 W 2ND ST, SWANSEA, SC 29160-8665
(803) 568-2000
(803) 568-5113
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28558
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2024
Last updated
06/19/2024
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