Miller, David T

Miller, David T is an individual health care provider with primary practice located at 335 Pleasant Point Dr , Beaufort SC 29907-1164. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Miller, David T can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
335 Pleasant Point Dr Beaufort SC 29907-1164
Phone: (803) 699-9073
Fax: (866) 527-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R90136 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X G90136 South Carolina

Profile Details

NPI number 1205832995
LBN Legal business name Miller, David T
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 26th, 2012 - about 14 years 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 1205832995 NPPES
South Carolina MEDICAID NP0834

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