Individual
GARETH T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1004 HEALTH CENTER DR STE 100, MATTOON, IL 61938-4607
(217) 238-3435
(217) 238-3492
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-030833
IL
Other
Enumeration date
10/23/2024
Last updated
02/26/2025
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