MEDICARE: MS. NANCY PAULETTE MILAN MSW

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	1041C0700X	Clinical Social Worker	6801079680	MI

General Provider Information

NPI Number	:	1750505277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY PAULETTE MILAN MSW

Provider Business Mailing Address
First Line	:	PO BOX 2913
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29484-2913
Country	:	US
Telephone Number	:	843-821-2724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 REMOUNT RD BLDG 3107
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3516
Country	:	US
Telephone Number	:	843-743-0306
Fax Number	:	843-743-0334

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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