Individual
MRS. MIRANDA RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
210 EXECUTIVE DR., CARROLLTON, GA 30117
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN288428
GA
363L00000X
Nurse Practitioner
Primary
RN288428
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN288428
GA
Other
Enumeration date
05/11/2022
Last updated
01/14/2026
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