Individual
CHANDLER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
687 DONALD C MOORE DR, LEBANON, VA 24266-4849
(276) 345-5412
Mailing address
687 DONALD C MOORE DR, LEBANON, VA 24266-4849
(276) 345-5412
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024196153
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2023
Last updated
02/04/2026
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