Individual
DR. JOHN LECRAW MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CANDLER DR STE 100, SAVANNAH, GA 31405-6093
(912) 352-1700
(912) 354-8545
Mailing address
225 CANDLER DR STE 100, SAVANNAH, GA 31405-6093
(912) 352-1700
(912) 354-8545
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
073346
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160249A
—
GA
Enumeration date
04/21/2010
Last updated
06/17/2015
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