Individual
MIRANDA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20464 CHARTWELL CENTER DR, CORNELIUS, NC 28031-9633
(980) 998-9714
Mailing address
20464 CHARTWELL CENTER DR, CORNELIUS, NC 28031-9633
(980) 998-9714
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P22890
NC
Other
Enumeration date
02/19/2024
Last updated
01/06/2025
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