Carver, Tina Miranda

Carver, Tina Miranda is an individual health care provider with primary practice located at 316 Gaskin Ave S , Douglas GA 31533-0015. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Carver, Tina Miranda can be contacted via phone (912) 393-3937.

Contact Information

Primary practice address
316 Gaskin Ave S Douglas GA 31533-0015
Fax: (912) 393-3944
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 0001756 Georgia

Profile Details

NPI number 1568525863
LBN Legal business name Carver, Tina Miranda
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568525863 NPPES
Georgia Other 1286180001 PALMETTO GBA

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