Individual
COREY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
30 BROOK DR, UNION HALL, VA 24176-2319
(304) 654-6799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001270816
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179401
VA
Other
Enumeration date
03/10/2020
Last updated
06/02/2020
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