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Dr. Richard John Mikilitus JR., MD
Neurology Physician in Carrollton, Georgia
NPI 1760461305

Richard John Mikilitus JR. is a Neurology Physician based in Carrollton, GA and is specialized in Neurology. Richard John Mikilitus JR. practices in Carrollton, GA and has the professional credentials of MD. The NPI Number for Richard John Mikilitus JR. is 1760461305 and holds a License No. 040159 (Georgia).

The current practice location address for Richard John Mikilitus JR. is 524 Dixie St, Carrollton, GA and can be reached out via phone at 770-832-2775 and via fax at 770-832-9529.

Location: 524 Dixie St, Carrollton, GA, 30117-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760461305
Provider Name
Richard John Mikilitus JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
524 Dixie St, Carrollton, GA, 30117-3805
Phone Number
770-832-2775
Fax Number
770-832-9529
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5632868 01 CIGNA
5997084 01 GA AETNA HEALTH CARE
000670909A 05 GA
130011906 01 R X R MEDICARE
000670909F 05 GA
1281548 01 UNITED HEALTHCARE
009602420 05 AL
506390 01 BCBS
000670909E 05 GA
institution
Provider Business Practice Location Address Details
Address
524 Dixie St
City
Carrollton
State
Georgia
Zip
30117-3805
Phone Number
770-832-2775
Fax Number
770-832-9529
person
Provider Business Mailing Address Details
Address
524 Dixie St
City
Carrollton
State
Georgia
Zip
30117-3805
Phone Number
770-832-2775
Fax Number
770-832-9529
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
040159 (Georgia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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