| Miranda Y. Edwards, M.d Llc | |
|
500 18th St Suite A-10 Columbus GA 31901-1536 | |
| (706) 243-2900 | |
| (706) 243-2903 |
| Full Name | Miranda Y. Edwards, M.d Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 500 18th St, Columbus, Georgia |
| Authorized Official Name and Position | Chandra Lynnette Edwards (BUSINESS MANAGER) |
| Authorized Official Contact | 7062432900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Y. Edwards, M.d Llc Po Box 4173 Columbus GA 31914-0173 Ph: (706) 243-2900 | Miranda Y. Edwards, M.d Llc 500 18th St Suite A-10 Columbus GA 31901-1536 Ph: (706) 243-2900 |
| NPI Number | 1780884817 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780884817 | NPI | - | NPPES |
| GRP6934 | Other | GA | MEDICARE GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 049971 (Georgia) | Primary |
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