Individual
TRICIA MARIE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R) (ARRT)
Contact information
Practice address
1504 HARDEMAN AVE, SUITE B, MACON, GA 31201-1441
(478) 745-3135
(478) 745-3136
Mailing address
1504 HARDEMAN AVE, SUITE B, MACON, GA 31201-1441
(478) 745-3135
(478) 745-3136
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
496508
GA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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