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ANTHONY LOREN MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
239 STONY BROOK CIR, JACKSON, GA 30233-4571
(209) 306-4796
(478) 247-8448
Mailing address
2660 W COVELL BLVD, DAVIS, CA 95616-5645
(530) 747-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
070199
GA
207R00000X
Internal Medicine Physician
Primary
C165064
CA
207R00000X
Internal Medicine Physician
TPME1727
FL

Other

Enumeration date
06/06/2008
Last updated
11/21/2024
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