Individual
DR. GRANT A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102204583
VA
209800000X
Legal Medicine (M.D./D.O.) Physician
0102204583
VA
Other
Enumeration date
01/23/2015
Last updated
11/02/2022
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