Individual
MRS. NATALIE D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
122 OKATIE CENTER BLVD N STE 100, OKATIE, SC 29909-3782
(843) 706-8840
(833) 314-0430
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-7843
(843) 522-5945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2113
SC
363A00000X
Physician Assistant
MA051278
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1987PA
—
SC
Enumeration date
05/26/2006
Last updated
06/30/2021
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