Individual provider · Type 1 NPI

Miranda Leanna Thompson, AT

Student in an Organized Health Care Education/Training Program · Statesboro, GA

NPI number 1104653963 Active

Practice location

17931 Highway 67 Apt 101
Statesboro, GA 30458-2301

Call (229) 449-2868 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104653963

Miranda Leanna Thompson, AT's National Provider Identifier is 1104653963, issued on Sep 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Statesboro, GA. The record was last updated on Sep 16, 2024.