Individual
HENRY MILLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1335
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
053271
GA
207P00000X
Emergency Medicine Physician
Primary
28346
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283464
—
SC
05
—
5902321
—
NC
Enumeration date
06/09/2005
Last updated
10/18/2007
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