| Mary C. Miller Md Pc | |
|
2628 Broadway St Quincy IL 62301-3637 | |
| (217) 224-1744 | |
| (217) 222-5827 |
| Full Name | Mary C. Miller Md Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2628 Broadway St, Quincy, Illinois |
| Authorized Official Name and Position | Mary Carroll Miller (PRESIDENT) |
| Authorized Official Contact | 2172241744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C. Miller Md Pc 2628 Broadway St Quincy IL 62301-3637 Ph: (217) 224-1744 | Mary C. Miller Md Pc 2628 Broadway St Quincy IL 62301-3637 Ph: (217) 224-1744 |
| NPI Number | 1932251600 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932251600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Illinois) | Primary |
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