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Individual

MIA TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 581-7155
Mailing address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 581-7155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/02/2010
Last updated
03/15/2011
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