Individual
ROBERT LESLIE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 MEDICAL PARK DR E, SUITE 307, BIRMINGHAM, AL 35235-3430
(205) 838-3047
(205) 838-3497
Mailing address
52 MEDICAL PARK DR E, SUITE 307, BIRMINGHAM, AL 35235-3430
(205) 838-3047
(205) 838-3497
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15253
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060135
MEDICAID GROUP NUMBER
AL
05
—
000082193
—
AL
01
—
1700830007
MEDICARE INDIVUAL NPI
AL
01
—
1982796603
GROUP NPI
AL
01
—
C135
MEDICARE GROUP (OLD)
AL
Enumeration date
05/20/2006
Last updated
08/08/2014
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