Provider Demographics
NPI:1487211199
Name:MILLER, ASHLEY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:339 RAILROAD AVE UNIT 426
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3996
Mailing Address - Country:US
Mailing Address - Phone:706-831-2977
Mailing Address - Fax:
Practice Address - Street 1:215 TOWN CREEK RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5843
Practice Address - Country:US
Practice Address - Phone:803-508-7651
Practice Address - Fax:803-508-7655
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10967208000000X
SC82290208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10967OtherGEORGIA MEDICAL LICENSE