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NPI Code Detail

MEDICARE: DR. EDDRINA RICKIA MILLER PHD

MEDICARE: DR. EDDRINA RICKIA MILLER PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1714SC

General Provider Information

NPI Number : 1205811270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDDRINA RICKIA MILLER PHD
Provider Business Mailing Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1639
Country : US
Telephone Number : 910-916-1835
Fax Number :
Provider Business Practice Location Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number : 910-916-1835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 03/14/2022

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