Provider Demographics
NPI:1447484803
Name:ALBAUGH, MIRANDA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:MIRANDA
Middle Name:LYNN
Last Name:ALBAUGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1355 EDWIN MILLER BLVD SUITE A
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404
Mailing Address - Country:US
Mailing Address - Phone:304-263-6753
Mailing Address - Fax:304-263-8278
Practice Address - Street 1:1355 EDWIN MILLER BLVD STE A
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-3703
Practice Address - Country:US
Practice Address - Phone:304-263-6753
Practice Address - Fax:304-263-8278
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2022-05-01
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Provider Licenses
StateLicense IDTaxonomies
MDD0075481207Q00000X
WV24467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine