NPI 1003453002

Miranda Elyse McClure

Practitioner Athletic Trainer Hiram, GA

Practice location

Address: 123 Fair Havens Dr, Hiram, GA 30141-4718
Phone: (678) 499-3042

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1003453002
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2019
Record last updated: 9 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.