Miller, Wendy Leigh

Miller, Wendy Leigh is an individual health care provider with primary practice located at 605 W Main St , Lexington SC 29072-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Wendy Leigh can be contacted via phone (803) 358-6100.

Contact Information

Primary practice address
605 W Main St Lexington SC 29072-2503
Fax: (803) 358-6105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0072229 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25928 South Carolina

Profile Details

NPI number 1083613004
LBN Legal business name Miller, Wendy Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083613004 NPPES
South Carolina MEDICAID 259286
South Carolina MEDICAID 552305200

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