Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 29502 | AL |
NPI | 1053342527 |
---|---|
Provider Name | Aaron Robert Millage |
First Address | Montgomery, AL 36111-2711 |
Second Address | Montgomery, AL 36117-3512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 12/05/2009 |