Individual
MICIAH TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 20TH AVE, VALLEY, AL 36854-3201
(334) 756-0305
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-164781
AL
363LF0000X
Family Nurse Practitioner
GAA-NP003652
GA
Other
Enumeration date
05/15/2025
Last updated
06/06/2025
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