Provider Demographics
NPI:1740252444
Name:MINER, CHERIE B (MD)
Entity type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:B
Last Name:MINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-939-3699
Mailing Address - Fax:205-581-7155
Practice Address - Street 1:805 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1636
Practice Address - Country:US
Practice Address - Phone:205-939-3699
Practice Address - Fax:205-581-7155
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23438207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL128849Medicaid
AL23-10620OtherUNITED HEALTHCARE
AL49158OtherHEALTHSPRINGS
AL511-41333OtherBLUE CROSS
AL511-13989OtherBLUE CROSS
ALP00923289OtherRAILROAD RETIREMENT
AL511-41333OtherBLUE CROSS
AL23-10620OtherUNITED HEALTHCARE
AL370021933OtherRAILROAD MEDICARE