# WEST GEORGIA HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306319256
- **Authorized official:** MR. DANIEL MIELCARSKI DC (OWNER)
- **Authorized official phone:** (678) 462-4402

## Contact information

- **Practice address:** 210 SOUTH ST, CARROLLTON, GA 30117-3738
- **Practice address phone:** (770) 834-1898
- **Practice address fax:** (770) 834-4814
- **Mailing address:** 210 SOUTH ST, CARROLLTON, GA 30117-3738
- **Mailing address phone:** (770) 834-1898
- **Mailing address fax:** (770) 834-4814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 01/03/2019