Individual
DR. MICHAEL CHARLES MIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(404) 785-7141
Mailing address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(404) 785-7141
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
024605
GA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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