Provider Demographics
NPI:1801269303
Name:MILER, MARGARET TANNER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:TANNER
Last Name:MILER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:955 RIBAUT RD
Mailing Address - Street 2:BMAC CREDENTIALING
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5441
Mailing Address - Country:US
Mailing Address - Phone:843-522-5674
Mailing Address - Fax:843-522-5678
Practice Address - Street 1:BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
Practice Address - Street 2:300 MIDTOWN DR
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-5200
Practice Address - Country:US
Practice Address - Phone:843-770-0404
Practice Address - Fax:844-296-2309
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2019-07-24
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Provider Licenses
StateLicense IDTaxonomies
SC2457363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2541PAMedicaid