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Contact Information

LAVERNE L MILLER, MD
210 KINGSTON RD
GREENWOOD, SC29649-9570
 Phone: 260-760-0956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bariatric Medicine

207QB0002X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LAVERNE L MILLER · (Male)

NPI Number 1477549962
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 07/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01035849
  • OH License # 35045593
  • SC License # MD88243
  • OH Medicaid 0454235
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    208 N COLUMBUS ST
    HICKSVILLE, OH 43526
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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