Search › Georgia › 390200000X
Mauricio Medina Mieles, MD
NPI 1114779113 · on the registry since 2024
Practice
- Address
- 800 Gi Maddox Parkway
Chatsworth, GA 30705 - Phone
- (706) 686-8015
- Fax
- (706) 686-8221
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia