Basic Information
Provider Information
NPI: 1033558838
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: MARGARET
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 INDEPENDENCE PT STE 212
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296154536
CountryCode: US
TelephoneNumber: 8647976308
FaxNumber:  
Practice Location
Address1: 67 CREEKSIDE PARK CT
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296154810
CountryCode: US
TelephoneNumber: 8645223700
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/14/2013
LastUpdateDate: 02/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X40727SCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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