Individual
DR. MIRANDA Y. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 18TH ST, SUITE A-10, COLUMBUS, GA 31901-1536
(706) 243-2900
(706) 243-2903
Mailing address
PO BOX 4173, COLUMBUS, GA 31914-0173
(706) 243-2900
(706) 243-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926043C
—
GA
Enumeration date
07/26/2006
Last updated
02/15/2011
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