Individual
MIRANDA OLIVER STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-5173
(770) 389-3855
(770) 474-8078
Mailing address
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-5173
(770) 389-3855
(770) 474-8078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7482
GA
Other
Enumeration date
03/16/2016
Last updated
10/10/2018
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