Individual
ANTHONY SCOTT MICKLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
811 13TH ST STE 20, AUGUSTA, GA 30901-2771
(706) 722-3401
(706) 434-6278
Mailing address
811 13TH ST STE 20, AUGUSTA, GA 30901-2771
(706) 722-3401
(706) 434-6278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10052
GA
Other
Enumeration date
11/10/2020
Last updated
09/16/2024
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