Individual
KATIE FORTENBERRY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 PRINCETON AVE SW BLDG III, BIRMINGHAM, AL 35211-1323
(205) 786-2776
Mailing address
1445 ROSS AVE STE 1400, DALLAS, TX 75202-2703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140000
AL
Other
Enumeration date
10/16/2018
Last updated
12/31/2019
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