Individual
MIRANDA NORTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1575 NORTHEAST EXPY NE, ATLANTA, GA 30329
(845) 270-3455
Mailing address
4410 DRIFTWOOD DR, PHILADELPHIA, PA 19129-1783
(845) 270-3455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96698
GA
Other
Enumeration date
03/31/2020
Last updated
10/20/2025
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