Individual
MIRANDA HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
521 MONTGOMERY HWY STE 117, VESTAVIA, AL 35216-1876
(205) 824-4441
(205) 822-3978
Mailing address
1021 TALBOTTON RD, COLUMBUS, GA 31904-8744
(706) 324-7700
(706) 596-5810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
008260
GA
363AM0700X
Medical Physician Assistant
Primary
PA-1266
AL
Other
Enumeration date
02/07/2017
Last updated
10/18/2017
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