Individual
COREY M MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
52 MEDICAL PARK DR E, SUITE 115, BIRMINGHAM, AL 35235-3430
(205) 838-3900
(205) 838-3906
Mailing address
PO BOX 830633, BIRMINGHAM, AL 35283-0633
(205) 838-3900
(205) 838-3906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3966
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-42956
BC BS OF AL
AL
Enumeration date
08/15/2007
Last updated
11/12/2007
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