ELIZABETH LEDERE MILLER SMILEY PA NPI 1750033049

NPI Information

NPI: 1750033049
Provider Name: ELIZABETH LEDERE MILLER SMILEY, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2880 TRICOM ST
N CHARLESTON, SC
ZIP 29406
Phone: (843) 797-5050
Get Directions

Elizabeth Ledere Miller Smiley, PA is a surgical physician assistant in N Charleston, SC with 3 years of experience. Elizabeth Ledere Miller Smiley, PA NPI is 1750033049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2880 TRICOM ST
N CHARLESTON, SC
ZIP 29406-171
Phone: (843) 797-5050
Fax: (843) 797-3633

The NPI 1750033049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363AS0400X	Physician Assistant	Surgical	4345	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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