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Individual

GARY LEE MILLER

Active
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Individual

GARY LEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
066569
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN1787402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890360748B
GA
05
890360748C
GA
05
890360748E
GA
05
890360748F
GA
01
P00244931
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
02/28/2022
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