Individual
MR. GENE EDWARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2355A MILL RD, ALEXANDRIA, VA 22314-4608
(703) 838-4482
Mailing address
12125 CANTERBURY LOOP, KING GEORGE, VA 22485-4210
(540) 776-1998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00011440001
VA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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