Miranda Jackson
Miranda Jackson is an Attendant Care Provider in Sylvania, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6474 Savannah HwySylvania, GA 30467-9315
Phone: (912) 425-2479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1043933641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2022 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 6474 Savannah Hwy, Sylvania, GA 30467-9315 |