MEDICARE: DR. KATHRYN S MIZE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	AL10142	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11588	OTHER	AL	BLUE CROSS AL

General Provider Information

NPI Number	:	1871579391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN S MIZE M.D.

Provider Business Mailing Address
First Line	:	1225 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4306
Country	:	US
Telephone Number	:	256-350-0675
Fax Number	:	256-350-1046

Provider Business Practice Location Address
First Line	:	1225 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4306
Country	:	US
Telephone Number	:	256-350-0675
Fax Number	:	256-350-1046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1659357192 — DR. JAMES MIZE M.D.
Practice Location Address:

1225 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 256-350-0675
Practice Fax: 256-350-1046

1972522696 — DR. JAMES OWEN DAILEY JR. M.D.
Practice Location Address:

1221 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 256-351-9470
Practice Fax: 256-351-9472

1437168879 — VALLEY PATHOLOGY, L.L.C.
Practice Location Address:

1221 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 800-288-8325
Practice Fax: 256-351-9472

1215024690 — CORNERSTONE DENTISTRY OF DECATUR
Practice Location Address:

1215 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 256-353-1481
Practice Fax:

1831286210 — DR. KELVIN SCOTT WHITAKER DMD
Practice Location Address:

1215 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 256-353-1481
Practice Fax:

1710100052 — DRS. JAMES & KATHRYN MIZE PC
Practice Location Address:

1225 13TH AVE SE
DECATUR, AL
35601-4306

Practice Phone: 256-350-0675
Practice Fax: 256-350-1046

Directions to “ DR. KATHRYN S MIZE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.