MEDICARE: NANCY MILLER SLP

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
1	235Z00000X	Speech-Language Pathologist	SA 7908	FL

General Provider Information

NPI Number	:	1326161951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MILLER SLP

Provider Business Mailing Address
First Line	:	1527 FIDDLERS MARSH DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-4288
Country	:	US
Telephone Number	:	843-849-3692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1527 FIDDLERS MARSH DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-4288
Country	:	US
Telephone Number	:	843-849-3692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	09/13/2010

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Directions to “ NANCY MILLER SLP” Practice Location

Language	Start Address	Practice Location

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