Wellformed AI

NPI 1265572093 · live from the CMS NPI Registry

Mark Andrew Miller, DO

Obstetrics & Gynecology, Gynecologic Oncology in West Columbia, SC. National Provider Identifier 1265572093, active.

NPI record

NPI1265572093 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecologic Oncology 207VX0201X
Practice location222 E Medical Ln Ste 400, West Columbia, SC 29169
Practice phone803-794-7511
Mailing address2020 Technology Pkwy Ste 3100, Mechanicsburg, PA 17050
EnumeratedFebruary 8, 2007
Last updatedMarch 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecologic Oncology primary207VX0201X95419 (SC)
Obstetrics & Gynecology207V00000X0102201618 (VA)
Obstetrics & Gynecology207V00000XOS014115 (PA)
Obstetrics & Gynecology, Gynecologic Oncology207VX0201XOS014115 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.