Individual
DR. MARY CARROLL MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2628 BROADWAY ST, QUINCY, IL 62301-3637
(217) 224-1744
(217) 222-5827
Mailing address
124 S 20TH ST, QUINCY, IL 62301-4306
(217) 224-0513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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