Individual
ALBERT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305
(334) 794-5000
Mailing address
3318 TAMARACK LANE, WOOSTER, OH 44691-0001
(330) 262-1989
(330) 345-7032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35049516
OH
207P00000X
Emergency Medicine Physician
Primary
MD.28660
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187190
BCBS
OH
01
—
000000475288
BLUE SHIELD
OH
05
—
0696411
—
OH
01
—
P00123844
RR MCR
—
Enumeration date
07/27/2006
Last updated
01/23/2019
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