Provider Demographics
NPI:1831539790
Name:MILLER, TONYA RENEE (MD)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE
Last Name:MILLER
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 1:121 GOLFVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5473
Mailing Address - Country:US
Mailing Address - Phone:256-931-5437
Mailing Address - Fax:
Practice Address - Street 1:121 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5473
Practice Address - Country:US
Practice Address - Phone:256-931-5437
Practice Address - Fax:833-753-1386
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL36002208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics