Individual
BERNADETTE K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA9102078
FL
363A00000X
Physician Assistant
Primary
2370
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3544PA
—
SC
01
—
970027669
RAILROAD MEDICARE
FL
Enumeration date
05/30/2006
Last updated
10/02/2024
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