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NPI Code Detail

MEDICARE: DANA S MILES DMSC, PA-C

MEDICARE: DANA S MILES DMSC, PA-C
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 Assistant50.002319RXOH

General Provider Information

NPI Number : 1558401448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA S MILES DMSC, PA-C
Provider Business Mailing Address
First Line : 108 POLLOCK ST
Second Line :
City : BEAUFORT
State : NC
Zip : 28516-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 715 RICHLAND MALL
Second Line :
City : ONTARIO
State : OH
Zip : 44906-3802
Country : US
Telephone Number : 419-468-0522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 03/31/2026

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