Doctor Name: | JORDAN MILLER CASE |
NPI Number: | 1225264948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 5890 Valley Rd Suite 101 Birmingham, AL - 352358668 |
Business Phone Number: | 2056610987 |
Business Fax Number: | |
Mailing Address: | 2301 Morris Ave, Suite 105 BIRMINGHAM |
State: | AL |
Postal Code: | 352034386 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |