Individual
GIOVANNI RAMOS MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
555 KING AVE, ATHENS, GA 30606-2971
(706) 372-6136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN306722
GA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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