Individual
MIRANDA K REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MANNING DR CB#7025, CHAPEL HILL, NC 27599-5322
(919) 445-0740
Mailing address
511 E MAIN ST, ROCK HILL, SC 29730-5322
(803) 415-2618
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
247909
SC
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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