Provider Information for 1447827282
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BRYAN MILLER
Sex: Female
NPI: 1447827282
Last Updated: 2021-06-09
Certification Date: 2021-05-25
Certification Date: 2021-05-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447827282 | ||||||||
| Enumeration Date | 2021-06-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15255 US 43 #3 RUSSELLVILLE, AL 35653 United States Phone: 256-277-9440 | Fax: | ||||||||
| Primary Practice Address | 15255 US 43 #3 RUSSELLVILLE, AL 35653 United States Phone: 256-277-9440 | Fax: | ||||||||
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