White, Miranda
White, Miranda is an sole proprietor health care provider with primary practice located at 1311A Fulton Industrial Blvd Nw Ste 5 , Atlanta GA 30336-1533. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. White, Miranda can be contacted via phone (678) 685-1386.Contact Information
Primary practice address
1311A Fulton Industrial Blvd Nw Ste 5
Atlanta GA 30336-1533
Phone: (678) 685-1386
Fax: (678) 601-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT004564 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT4564 | Georgia |
Profile Details
| NPI number | 1386744233 |
|---|---|
| LBN Legal business name | White, Miranda |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 30th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386744233 | NPPES |
| Georgia | MEDICAID | 618882941A |
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