Individual
DR. MICKY MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2870 RONALD REAGAN BLVD STE 200, CUMMING, GA 30041-6092
(404) 994-4561
(404) 994-4562
Mailing address
2870 RONALD REAGAN BLVD STE 200, CUMMING, GA 30041-6092
(404) 994-4561
(404) 994-4562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35090306
OH
207RC0000X
Cardiovascular Disease Physician
Primary
61127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171600A
—
GA
Enumeration date
05/13/2008
Last updated
03/24/2026
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