Individual
MR. GARY RUSSELL MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 48TH ST, VALLEY, AL 36854-3666
(256) 283-7878
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-064026
AL
367500000X
Certified Registered Nurse Anesthetist
2006026603
MO
367500000X
Certified Registered Nurse Anesthetist
APN0000010352
TN
Other
Enumeration date
01/06/2006
Last updated
12/12/2007
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