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Individual

BLAIR DOBSON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
200 PATEWOOD DR, SUITE C300, GREENVILLE, SC 29615-3593
(886) 445-4827
(864) 454-2875
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1177
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0479PA
SC
Enumeration date
12/01/2006
Last updated
08/23/2013
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