SearchGeorgiaSurgical Physician Assistant

Lacey Miranda, PA

NPI 1083190698 · on the registry since 2018 · sole proprietor

Practice

Address
1075 Jesse Jewell Pkwy Ne Ste B
Gainesville, GA 30501
Phone
(770) 219-9200
Fax
(770) 219-9274
Organisation at this address
Northeast Georgia Surgical Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia