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Individual

DR. MARTIN J MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, BEAUFORT, SC 29902
(843) 228-5600
Mailing address
24 COOPERS HAWK RD, HILTON HEAD ISLAND, SC 29926-1808
(843) 228-5600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01035898A
IN
208000000X
Pediatrics Physician
Primary
MD40715
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100068410C
IN
Enumeration date
01/19/2006
Last updated
07/22/2022
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