Individual
MIRANDA ELIZABETH LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3 PROFESSIONAL PARK DR STE 31, JOHNSON CITY, TN 37604-6529
(423) 434-3570
Mailing address
1021 W OAKLAND AVE, JOHNSON CITY, TN 37604-2191
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6084
TN
Other
Enumeration date
05/31/2024
Last updated
09/24/2025
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