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NPI Code Detail

MEDICARE: LAURA MIESS

MEDICARE:   LAURA  MIESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN150783 NPGA

General Provider Information

NPI Number : 1194833095
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MIESS
Provider Business Mailing Address
First Line : PO BOX 2585
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-2585
Country : US
Telephone Number : 706-507-5441
Fax Number :
Provider Business Practice Location Address
First Line : 2320 HAMILTON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8534
Country : US
Telephone Number : 706-507-5441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 01/28/2012

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Directions to “ LAURA MIESS ” Practice Location

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