Individual
DR. JON DEZIL MIRANDA VARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Mailing address
1749 EMORY RIDGE DR NE, ATLANTA, GA 30329-2589
(713) 261-7387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83250
STATE MEDICAL LICENSE
GA
Enumeration date
05/28/2015
Last updated
03/20/2023
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