Healthcare Provider Details

I. General information

NPI: 1306238043
Provider Name (Legal Business Name): JULIE MILES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE FAITH BROWN APRN

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E HOSPITAL ST
MANNING SC
29102-3153
US

IV. Provider business mailing address

PO BOX 3239
FLORENCE SC
29502-3239
US

V. Phone/Fax

Practice location:
  • Phone: 803-435-8463
  • Fax:
Mailing address:
  • Phone: 803-435-5270
  • Fax: 803-433-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number19311
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3018972
License Number StateKY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: