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Individual

DR. MIKAEL STARECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106
(770) 944-1100
(770) 944-6469

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
075911
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
075911
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003180463A
GA
05
003180463B
GA
05
003180463C
GA
01
P01733735
MEDICARE RAILROAD
GA
Enumeration date
05/24/2010
Last updated
01/18/2022
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