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Individual

MARY MICHAEL MADDOX MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4600 HIGHWAY 280 STE 200, BIRMINGHAM, AL 35242-5186
(205) 716-6900
(205) 939-0242
Mailing address
4200 COLONNADE PKWY, BIRMINGHAM, AL 35243-2342
(205) 971-7613

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1900
AL
363A00000X
Physician Assistant
Primary
PA.1900
AL
363AS0400X
Surgical Physician Assistant
PA.0008061
CO

Other

Enumeration date
01/31/2022
Last updated
07/20/2026
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