MS. Miranda Fordham Blais, WHNP-BC
NPI #1639607625 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1639607625
- Entity Type
- Individual
- Name
- MS. Miranda Fordham Blais, WHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Women's Health
- Credential
- WHNP-BC
- Enumeration Date
- Jun 2, 2017
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 3369 BUFORD HWY NE STE 810A
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-1742
- Phone
- (404) 321-4692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Nurse Practitioner - Women's Health — Women's Health |
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