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Contact Information

MIRANDA P FRITH, PA-C
1940 STONEGATE DR STE 130
VESTAVIA HILLS, AL35242
 Phone: 205-977-9876
 Fax: 205-977-9976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MIRANDA P FRITH · (Female)

NPI # 1538274238
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/20/2006
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # PA.346
  • AL Medicaid 107776
  • AL Other 051048148 BCBS OF AL
  • AL Other 051048149 BCBS OF AL
  • AL Other 051048150 BCBS OF AL
  • AL Other 510-00264 BCBS OF AL
  • AL Other 51048148 BCBS OF AL
  • AL Other 51048149 BCBS OF AL
  • AL Other 51048150 BCBS OF AL
  • AL Other 510I970130 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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