Garcia, Miranda L

Garcia, Miranda L is an individual health care provider with primary practice located at 12 Lafayette Pl , Hilton Head SC 29926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Garcia, Miranda L can be contacted via phone (843) 342-9100.

Contact Information

Primary practice address
12 Lafayette Pl Hilton Head SC 29926
Phone: (843) 342-9100
Fax: (843) 342-9101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.002889 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6038 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2992 South Carolina

Profile Details

NPI number 1477796217
LBN Legal business name Garcia, Miranda L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Aug 6th, 2018 - about 7 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 1477796217 NPPES
Other 000000613877 ANTHEM

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