Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 17933 | SC |
NPI | 1194793661 |
---|---|
Provider Name | Miles D Mcguff |
First Address | Greenville, SC 29615-4545 |
Second Address | Seneca, SC 29672-9443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 14/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E58826 | (02) |