Individual
MRS. MIRANDA HUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 TOWN SQUARE ST, GLADE SPRING, VA 24340-2924
(276) 525-0031
Mailing address
26669 NEWBANKS RD, ABINGDON, VA 24210-7592
(276) 525-0031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024184901
VA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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