Search › Georgia › 367500000X
Mark Miranda, CRNA
NPI 1972136604 · on the registry since 2020
Practice
- Address
- 300 E Hospital Rd
Fort Gordon, GA 30905 - Phone
- (706) 787-5811
- Organisation at this address
- Dwight D Eisenhower Army Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 150
Additional practice sites
- 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia