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NPI Code Detail

MEDICARE: LINDSAY ANDERSON MILLER PHYSICIAN ASSISTANT

MEDICARE: LINDSAY ANDERSON MILLER PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant1330SC

General Provider Information

NPI Number : 1225292014
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY ANDERSON MILLER PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 9330 MEDICAL PLAZA DR
Second Line : NORTH CHARLESTON
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-847-4854
Fax Number :
Provider Business Practice Location Address
First Line : 9330 MEDICAL PLAZA DR
Second Line : NORTH CHARLESTON
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-847-4854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2008
Last Update Date : 04/02/2013

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Directions to “ LINDSAY ANDERSON MILLER PHYSICIAN ASSISTANT” Practice Location

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