Individual
WILLIAM BRENT MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1850 CHADWICK DRIVE, JACKSON, MS 39204
(334) 279-1450
(334) 279-1660
Mailing address
P.O. BOX 235019, MONTGOMERY, AL 36123
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
882885
MS
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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