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NPI Code Detail

MEDICARE: MIRANDA L REED DO

MEDICARE:   MIRANDA L REED  DO
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
1207L00000XAnesthesiology Physician77116GA
2207LP2900XPain Medicine (Anesthesiology) Physician77116GA
3208VP0014XInterventional Pain Medicine Physician77116GA

General Provider Information

NPI Number : 1659684231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA L REED DO
Provider Business Mailing Address
First Line : 59 TIPTON DR
Second Line :
City : DAHLONEGA
State : GA
Zip : 30533-1603
Country : US
Telephone Number : 770-872-6179
Fax Number : 678-302-6127
Provider Business Practice Location Address
First Line : 105 PROFESSIONAL PARK DR
Second Line :
City : CUMMING
State : GA
Zip : 30040-2381
Country : US
Telephone Number : 770-872-6179
Fax Number : 678-302-6127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2010
Last Update Date : 12/02/2025

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Directions to “ MIRANDA L REED DO” Practice Location

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