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Individual
DR. GLENDESE CAMILLE MILLER
Active
Individual
DR. GLENDESE CAMILLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME104698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500660
ANTHEM BCBS
KY
01
—
000000598137
ANTHEM BCBS
KY
05
—
2703533
—
KY
05
—
64085814
—
KY
Enumeration date
09/25/2006
Last updated
04/16/2014
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