Individual
MS. MIRANDA ANN SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1086 1/2 BAXTER ST, ATHENS, GA 30606-6316
(706) 353-0606
(706) 353-0798
Mailing address
1086 1/2 BAXTER ST, ATHENS, GA 30606-6316
(706) 353-0606
(706) 353-0798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7575
GA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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