=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346123908
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH MILES RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2025
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 GROVE RD
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29605-4210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-455-7000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 530 KEELER BRIDGE RD
-----------------------------------------------------
City | MARIETTA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29661-9562
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-684-5124
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WE0003X
-----------------------------------------------------
Taxonomy Name | Emergency Registered Nurse
-----------------------------------------------------
License Number | 224822
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------