MIRANDA GAYLE LEWIS

TIFTON, GA
NPI1982365946
Former NameMIRANDA GAYLE SOMERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  10825)
Enumeration Date2022-01-03
Last Update Date2023-08-22
Business Address
MIRANDA GAYLE LEWIS PA
2225 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-391-4100
Mailing Address
MIRANDA GAYLE LEWIS PA
2225 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-391-4100
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