Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA JACKSON
Active Sole ProprietorMIRANDA JACKSON is a Podiatric Surgery healthcare provider located in SYLVANIA, Georgia. NPI 1043933641 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SYLVANIA, GA
Registration Details
- NPI Number
- 1043933641
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2022 (3.9226970325455 yrs)
- Last Updated
- Sep 20, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
6474 SAVANNAH HWYSYLVANIA, GA, 304679315Browse GA providers · Browse ZIP 30467
- Phone
- 9124252479
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.