LACEY ASHTON MIRANDA

GAINESVILLE, GA
NPI1083190698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  008939)
Enumeration Date2018-07-17
Last Update Date2018-09-24
Business Address
LACEY ASHTON MIRANDA PA
1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA 30501-3814
Phone number: 770-219-9200
Mailing Address
LACEY ASHTON MIRANDA PA
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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