Provider Demographics
NPI:1306867288
Name:MILLER-FROST, RUTH I (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:I
Last Name:MILLER-FROST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7216 COPPERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7100
Mailing Address - Country:US
Mailing Address - Phone:334-283-2288
Mailing Address - Fax:334-272-2283
Practice Address - Street 1:7216 COPPERFIELD DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7100
Practice Address - Country:US
Practice Address - Phone:334-272-2288
Practice Address - Fax:334-272-2283
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00012053207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000014734Medicaid
AL14734OtherBLUE CROSS BLUE SHIELD
AL000014734Medicare PIN
AL000014734Medicaid