Individual
MIRANDA EDDY TALMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(256) 418-4300
(888) 827-8932
Mailing address
1100 BIRCHALL LN APT 306, HOOVER, AL 35226-6444
(205) 317-7175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-144300
AL
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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