License holder summary

GREEN, MIRANDA PADGETT is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for GREEN, MIRANDA PADGETT is 205 LADSON COURT, Decatur 30033. This doctor license is not current. The license was granted 11/08/2002 and expired on 12/31/2004.

Georgia

Composite Medical Board

GREEN, MIRANDA PADGETT
Medical - Physician Assistant
License number
003955
Date granted
11/08/2002
Date expires
12/31/2004
Class
Medical - Physician Assistant
Status
Lapsed
Address
205 LADSON COURT
georgiadoctors.net
ID 38098381
LAST UPDATED 2024-04-01 19:08:59 UTC

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