Individual
JULIA L MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6602 WATERS AVE, BUILDING C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 354-2181
Mailing address
6602 WATERS AVE, BUILDING C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 354-6040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000204058G
—
GA
Enumeration date
01/23/2006
Last updated
07/20/2012
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