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Miles Bragdon-hall
Student in an Organized Health Care Education/Training Program in Alabaster, Alabama
NPI 1710517214

Miles Bragdon-hall is a Student in an Organized Health Care Education/Training Program based in Alabaster, AL. Miles Bragdon-hall practices in Alabaster, AL. The NPI Number for Miles Bragdon-hall is 1710517214 and holds a License No. S12722 (Alabama).

The current practice location address for Miles Bragdon-hall is 180 Sycamore Ln, Alabaster, AL and can be reached out via phone at 205-789-1522.

Location: 180 Sycamore Ln, Alabaster, AL, 35007-7443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710517214
Provider Name
Miles Bragdon-hall
Credential
Provider Entity Type
Individual
Gender
Male
Address
180 Sycamore Ln, Alabaster, AL, 35007-7443
Phone Number
205-789-1522
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
180 Sycamore Ln
City
Alabaster
State
Alabama
Zip
35007-7443
Phone Number
205-789-1522
Fax Number
person
Provider Business Mailing Address Details
Address
180 Sycamore Ln
City
Alabaster
State
Alabama
Zip
35007-7443
Phone Number
205-789-1522
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12722 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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