Provider Demographics
NPI:1598646598
Name:MILLER FAMILY MEDICINE PC
Entity type:Organization
Organization Name:MILLER FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:GENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-442-3308
Mailing Address - Street 1:6150 US HIGHWAY 43
Mailing Address - Street 2:
Mailing Address - City:GUIN
Mailing Address - State:AL
Mailing Address - Zip Code:35563-3529
Mailing Address - Country:US
Mailing Address - Phone:205-468-2754
Mailing Address - Fax:205-468-3664
Practice Address - Street 1:6150 US HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:GUIN
Practice Address - State:AL
Practice Address - Zip Code:35563-3529
Practice Address - Country:US
Practice Address - Phone:205-487-2754
Practice Address - Fax:205-468-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty