Miranda White is a Sports in Mableton, Georgia. Miranda White practices all healthcare services and medical treatments related to Sports. The NPI Number for Miranda White is 1386744233. The last update date is 2020-01-30.
Miranda White's current location address is 1228 Wandering Vine Ct. Se, Mableton, Georgia. You can contact this provider via phone number 6786851386 and fax number 6786011341. The mailing address for Miranda White is 1228 Wandering Vine Ct. Se, Mableton, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Miranda White |
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Address | 1228 Wandering Vine Ct. Se, Mableton, Georgia |
Phone Number | 6786851386 |
Fax Number | 6786011341 |
Sole Proprietor | Y |
Credentials | DPT |
NPI Number Detail
NPI Number | 1386744233 |
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Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2020-01-30 |
Provider Mailing Address Detail
Address | 1228 Wandering Vine Ct. Se |
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City | Mableton |
State | Georgia (GA) |
Post Code | 30126 |
Phone Number | 6786851386 |
Fax Number | 6786011341 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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618882941A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Miranda White by the Centers for Medicare & Medicaid Services?
The Miranda White has been assigned the NPI (National Provider Identifier) 1386744233. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Miranda White is physically located?
The Miranda White is situated at the following address: 1228 Wandering Vine Ct. Se, Mableton, GA 30126.
Could you please share the complete physical location address where Miranda White's facilities are situated?
The facilities of Miranda White are physically located at the following address: 1228 Wandering Vine Ct. Se, Mableton, GA, 30126.
On what date did the Miranda White receive the assignment of its 1386744233 from the Centers for Medicare & Medicaid Services?
The Miranda White was issued its 1386744233 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date was the information pertaining to Miranda White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Miranda White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-30.