Theodore Miko D.O.

NPI 1932216785 - Specialist - 174400000X

NPI Details
NPI 1932216785
Gender Male
Enumeration Date 08/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4391 FALLOWFIELD LN SW
LILBURN GA, 30047-7405, US
Phone (678) 380-4081
Fax (678) 380-4348
Business Location
4391 FALLOWFIELD LN SW
LILBURN GA, 30047-7405, US
Phone (678) 380-4081
Fax (678) 380-4348
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 044966
Remove 1932216785 NPI Number
 

According to our database, Theodore Miko D.O. NPI is 1932216785, taxonomy code is 174400000X and license number is 044966, license state is located at Georgia. Theodore Miko D.O. physically located at 4391 Fallowfield Ln Sw, Lilburn GA, 30047-7405. NPI Number Theodore Miko D.O. has the Individual type.

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1932216785 NPI number is provided on an as is basis without warranty of any kind. 1932216785 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Miko D.O. are for informational purposes only.