Individual
DR. DAVID MIELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1143 2ND AVE., COLUMBUS, GA 31901
(706) 507-3574
(706) 507-3578
Mailing address
PO BOX 950, COLUMBUS, GA 31902
(706) 507-3574
(706) 507-3578
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
055688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
770054377A
—
GA
Enumeration date
06/28/2005
Last updated
08/23/2010
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