Individual
SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 CLOVERDALE RD, FLORENCE, AL 35633-1505
(256) 366-3551
Mailing address
317 COUNTY ROAD 168, KILLEN, AL 35645-4529
(256) 366-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477040483
PETERSVILLE FAMILY CARE
AL
Enumeration date
10/27/2014
Last updated
05/03/2024
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