Individual
THERESA P. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR BLDG SUITE102, MOBILE, AL 36617-2300
(251) 471-7844
(251) 471-7898
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-231
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913955
—
AL
05
—
009919425
—
AL
05
—
07171083
—
MS
05
—
1505676
—
LA
05
—
292365300
—
FL
01
—
51514409
BLUE CROSS
AL
Enumeration date
06/03/2006
Last updated
06/23/2022
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