person
Lacey Ashton Miranda, PA
Surgical Physician Assistant in Gainesville, Georgia
NPI 1083190698

Lacey Ashton Miranda is a Surgical Physician Assistant based in Atlanta, GA and is specialized in Surgical. Lacey Ashton Miranda practices in Gainesville, GA and has the professional credentials of PA. The NPI Number for Lacey Ashton Miranda is 1083190698 and holds a License No. 008939 (Georgia).

The current practice location address for Lacey Ashton Miranda is 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA and can be reached out via phone at 770-219-9200 and via fax at 770-219-9274.

Location: 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA, 30374-2616
person
Provider Profile Details
NPI Number
1083190698
Provider Name
Lacey Ashton Miranda
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA, 30374-2616
Phone Number
770-219-9200
Fax Number
770-219-9274
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1075 Jesse Jewell Pkwy Ne Ste B
City
State
Zip
30501-3814
Phone Number
770-219-9200
Fax Number
770-219-9274
person
Provider Business Mailing Address Details
Address
1075 Jesse Jewell Pkwy Ne Ste B
City
State
Zip
30501-3814
Phone Number
770-219-9200
Fax Number
770-219-9274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
008939 (Georgia)
Definition
Definition to come...
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