Healthcare Provider Details

I. General information

NPI: 1578141826
Provider Name (Legal Business Name): CHELSEA ROSS MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 MONTLIMAR DR
MOBILE AL
36609-1713
US

IV. Provider business mailing address

1015 MONTLIMAR DR STE 210
MOBILE AL
36609-1713
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-2250
  • Fax:
Mailing address:
  • Phone: 251-450-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD.45260
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: