Individual
MR. CARROLL KEATLEY MILLER II
Active
Individual
MR. CARROLL KEATLEY MILLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001227192
VA
163W00000X
Registered Nurse
9308821
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169026
VA
Other
Enumeration date
01/19/2010
Last updated
08/12/2014
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