Individual
MIRANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Mailing address
107 PARK RIDGE DR, DOTHAN, AL 36301-9039
(334) 790-7483
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-156414
AL
Other
Enumeration date
10/21/2019
Last updated
03/20/2024
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