Individual
GRADY C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Mailing address
208 MCFARLAND CIR N, SUITE 100, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20096
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097160
—
AL
05
—
009989260
—
AL
05
—
009989270
—
AL
05
—
009989280
—
AL
05
—
009989290
—
AL
05
—
009989320
—
AL
05
—
009989330
—
AL
05
—
009989340
—
AL
05
—
009989350
—
AL
05
—
009989360
—
AL
05
—
009989370
—
AL
05
—
009989380
—
AL
05
—
009993570
—
AL
Enumeration date
06/08/2006
Last updated
02/28/2021
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