Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 60 | SC |
NPI | 1043223837 |
---|---|
Provider Name | Thomas Stuart Miller |
First Address | Beaufort, SC 29902-5494 |
Second Address | Beaufort, SC 29902-5494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 17/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
570740956 | MOST INS CO: TAX ID (01) | |
PD0608 | (05) | SC |
T24967 | (02) |