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Organization

WEST GEORGIA HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL MIELCARSKI DC (OWNER)
(678) 462-4402
Entity
Organization

Contact information

Practice address
210 SOUTH ST, CARROLLTON, GA 30117-3738
(770) 834-1898
(770) 834-4814
Mailing address
210 SOUTH ST, CARROLLTON, GA 30117-3738
(770) 834-1898
(770) 834-4814

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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