Organization · Type 2 NPI
The Miranda, LLC
Customized Equipment (DME) · Moultrie, GA
NPI number
1770920696
Active
Practice location
1940 S Main St
Moultrie, GA 31768-6524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management | 1744P3200X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1770920696
The Miranda, LLC's National Provider Identifier is 1770920696, issued on Jun 1, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Moultrie, GA. The record was last updated on Dec 10, 2014.