| Doctor Name: | DR. AUDREY F MILLER |
| NPI Number: | 1063487999 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 042193 |
| Business Practice Address: | 300 Palmetto Health Pkwy Suite 300 Columbia, SC - 292121759 |
| Business Phone Number: | 8039077300 |
| Business Fax Number: | 8039077309 |
| Mailing Address: | Po Box 402145, ATLANTA |
| State: | GA |
| Postal Code: | 303842145 |
| Phone Number: | 8032967305 |
| Fax Number: | 8032967330 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 03/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 042193 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |