Individual
MIRANDA ROBINSON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1940 S MAIN ST, MOULTRIE, GA 31768-6524
(229) 529-1134
(229) 529-1134
Mailing address
1940 S MAIN ST, MOULTRIE, GA 31768-6524
(229) 529-1134
(229) 529-1134
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO075474
GA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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