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Angelina Miller

Physician Assistant in Montgomery, AL. Individual provider (NPI-1).

NPI number1619697331
StatusActive
Last updated in NPPESJan 23, 2025

Details

NPI
1619697331
Entity type
Individual (NPI-1)
Name
Angelina Miller
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 1, 2022
Certification date
Jan 23, 2025
Last updated
Jan 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant2376ALYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2570 Berryhill Rd # 3564
Montgomery, AL 36117-3564

Phone 334-323-1330

Mailing address

2570 Berryhill Rd # 3564
Montgomery, AL 36117-3564

Other practice locations

7449 Eastchase Pkwy
Montgomery, AL 36117-6846

Phone 334-747-4030

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