Individual
GREGORY TIMOTHY MILES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
416 N SEMINARY ST, SUITE 100, FLORENCE, AL 35630-4657
(256) 764-1442
(256) 764-1366
Mailing address
213 FLURNOY AVE, FLORENCE, AL 35633-1324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH775
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51523294
BLUE CROSS ID#
AL
Enumeration date
06/05/2006
Last updated
07/08/2007
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