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The Miranda, Llc
Prosthetic/Orthotic Supplier in Moultrie, Georgia
NPI 1770920696

The Miranda, Llc is a Prosthetic/Orthotic Supplier based in Moultrie, GA. The Miranda, Llc practices in Moultrie, GA. The NPI Number for The Miranda, Llc is 1770920696 and holds a License No. (Georgia).

The current practice location address for The Miranda, Llc is 1940 S Main St, Moultrie, GA and can be reached out via phone at 229-529-1134.

Location: 1940 S Main St, Moultrie, GA, 31768-6524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770920696
Provider Name
The Miranda, Llc
Credential
Provider Entity Type
Organization
Address
1940 S Main St, Moultrie, GA, 31768-6524
Phone Number
229-529-1134
Fax Number
Provider Enumeration Date
06/01/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1940 S Main St
City
Moultrie
State
Georgia
Zip
31768-6524
Phone Number
229-529-1134
Fax Number
person
Provider Business Mailing Address Details
Address
1940 S Main St
City
Moultrie
State
Georgia
Zip
31768-6524
Phone Number
229-529-1134
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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Prosthetic/Orthotic Supplier
1940 S Main St,
MOULTRIE, GA
31768-6524
229-529-1134
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