Healthcare Provider Details

I. General information

NPI: 1982672952
Provider Name (Legal Business Name): RASA K MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22720 BUCKSVILLE RD
MC CALLA AL
35111-2711
US

IV. Provider business mailing address

22720 BUCKSVILLE RD
MC CALLA AL
35111-2711
US

V. Phone/Fax

Practice location:
  • Phone: 205-481-8640
  • Fax: 205-477-6214
Mailing address:
  • Phone: 205-481-8640
  • Fax: 205-477-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35987
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: