Individual
GABRIEL M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 310-6100
Mailing address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 310-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229942
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229942
NURSING LICENSE
TN
Enumeration date
04/22/2021
Last updated
04/22/2021
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