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Theodore Miko, DO
Specialist in Lilburn, Georgia
NPI 1932216785

Theodore Miko is a Specialist based in Lilburn, GA. Theodore Miko practices in Lilburn, GA and has the professional credentials of DO. The NPI Number for Theodore Miko is 1932216785 and holds a License No. 044966 (Georgia).

The current practice location address for Theodore Miko is 4391 Fallowfield Ln Sw, Lilburn, GA and can be reached out via phone at 678-380-4081 and via fax at 678-380-4348.

Location: 4391 Fallowfield Ln Sw, Lilburn, GA, 30047-7405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932216785
Provider Name
Theodore Miko
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4391 Fallowfield Ln Sw, Lilburn, GA, 30047-7405
Phone Number
678-380-4081
Fax Number
678-380-4348
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4391 Fallowfield Ln Sw
City
Lilburn
State
Georgia
Zip
30047-7405
Phone Number
678-380-4081
Fax Number
678-380-4348
person
Provider Business Mailing Address Details
Address
4391 Fallowfield Ln Sw
City
Lilburn
State
Georgia
Zip
30047-7405
Phone Number
678-380-4081
Fax Number
678-380-4348
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
044966 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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