Mr. Garrett Bruce Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871109751

Mr. Garrett Bruce Miller is a Student in an Organized Health Care Education/Training Program in Clarksboro, New Jersey. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in: WV
In the registry since: 2020
Specialties on file: 2

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Practice location Address checks out

28 E Cohawkin Rd
Clarksboro, NJ 08020-1344
Phone: (609) 254-6609

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary)	Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X · Licence 800234804 (WV)

Record details

NPI number	1871109751
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	September 16, 2020
Last updated in NPPES	October 13, 2021
Certification date	October 13, 2021
Mailing address	28 E Cohawkin Rd, Clarksboro, NJ 08020-1344