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MARY MICHAEL MADDOX MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(334) 790-4564
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601

Taxonomy

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

Other

Enumeration date
01/31/2022
Last updated
05/22/2025
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