Provider Demographics
NPI:1265818892
Name:MILLER, TRACEY DENISE-THOMS (APRN)
Entity type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:DENISE-THOMS
Last Name:MILLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2660 REIDVILLE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-3512
Mailing Address - Country:US
Mailing Address - Phone:864-319-2535
Mailing Address - Fax:864-448-1661
Practice Address - Street 1:2660 REIDVILLE RD STE 5
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-3512
Practice Address - Country:US
Practice Address - Phone:864-319-2535
Practice Address - Fax:864-448-1661
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC19668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily