NPI Information
- NPI:
1922469154
- Provider Name:
MIRANDA OLIVER STONE, PA-C
- Classification:
Physician Assistant - 363A00000X
- Entity Type:
Individual
- PECOS Registration: Yes
- Address:
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA
ZIP 30281
- Phone:
(770) 389-3855
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 363A00000X | Physician Assistant | | 7482 | GEORGIA | Yes |