NPI 1639664766 · live from the CMS NPI Registry
Breelyn Nicole Miles, DPM
Podiatrist in Ladson, SC. National Provider Identifier 1639664766, active.
NPI record
| NPI | 1639664766 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 4340 Ladson Rd Ste C, Ladson, SC 29456 |
| Practice phone | 843-851-9069 |
| Enumerated | July 1, 2018 |
| Last updated | February 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | LPR00194 (RI) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | LPR00194 (RI) |
| Podiatrist primary | 213E00000X | 721 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.