Individual
DR. DWIGHT PAUL MIRMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2260 LURIGHTSBORO RD, LABORATORY MEDICINE, PC, AUGUSTA, GA 30904
(706) 481-7473
(706) 481-7868
Mailing address
2321 KINGS WAY, LABORATORY MEDICINE, PC, AUGUSTA, GA 30904
(706) 481-7473
(706) 481-7868
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
048805
GA
Other
Enumeration date
09/08/2005
Last updated
02/01/2017
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