Miranda Elyse Mcclure

NPI #1003453002 in Hiram, Georgia

Provider Information

NPI Number
1003453002
Entity Type
Individual
Name
Miranda Elyse Mcclure
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Dec 9, 2019
Last Updated
Dec 9, 2019

Practice Location

Address
123 FAIR HAVENS DR
City
Hiram
State
Georgia
ZIP Code
30141-4718
Phone
(678) 499-3042

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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