MS. Miranda Fordham Blais, WHNP-BC
MS. Miranda Fordham Blais, WHNP-BC is an Obstetrics & Gynecology Physician in Brookhaven, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
3369 Buford Hwy NE Ste 810ABrookhaven, GA 30329-1742
Phone: (404) 321-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence RN216488 (GA) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence RN216488 (GA) |
Record details
| NPI number | 1639607625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | WHNP-BC |
| Sole proprietor | No |
| NPI enumerated | June 2, 2017 |
| Last updated in NPPES | February 18, 2022 |
| Certification date | February 18, 2022 |