Miller, Brendan Joseph

Miller, Brendan Joseph is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 300 , Conway SC 29526-8995. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Miller, Brendan Joseph can be contacted via phone (843) 347-8041.

Contact Information

Primary practice address
2376 Cypress Cir Ste 300 Conway SC 29526-8995
Phone: (843) 347-8041
Fax: (843) 347-8042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6412 South Carolina

Profile Details

NPI number 1306515077
LBN Legal business name Miller, Brendan Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2021
Last updated Aug 18th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306515077 NPPES
South Carolina MEDICAID 7819PA

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