Individual
SUSAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
VA MEDICAL CENTER, 700 SOUTH 19TH STREET, BIRMINGHAM, AL 35233
(205) 933-8101
Mailing address
VA MEDICAL CENTER, 700 SOUTH 19TH STREET, BIRMINGHAM, AL 35233
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLE6349
BCBS
AL
05
—
APPLE6349
—
AL
Enumeration date
02/13/2019
Last updated
02/13/2019
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