Individual
STANLEY D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1690 SKYLYN DR STE 300B, SPARTANBURG, SC 29307-1022
(864) 342-4000
(864) 596-7409
Mailing address
PO BOX 743070, ATLANTA, GA 30384-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20532
SC
207RI0200X
Infectious Disease Physician
Primary
20532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205325
—
SC
01
—
P00423935
MEDICARE RAILROAD PTAN#
GA
01
—
SCE4955019
MEDICARE PIN
SC
Enumeration date
05/23/2006
Last updated
05/18/2021
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