Individual
DR. SAMUEL W. MIETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2416 DUNN AVENUE, JACKSONVILLE, FL 32218-1015
(904) 353-3664
(904) 353-3858
Mailing address
PO BOX 3129, AUGUSTA, GA 30914-3129
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
051686
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
051686
GA
2085N0700X
Neuroradiology Physician
051686
GA
2085N0904X
Nuclear Radiology Physician
051686
GA
2085P0229X
Pediatric Radiology Physician
051686
GA
2085R0202X
Diagnostic Radiology Physician
051686
GA
2085R0202X
Diagnostic Radiology Physician
ME49311
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
051686
GA
2085R0204X
Vascular & Interventional Radiology Physician
ME49311
FL
2085U0001X
Diagnostic Ultrasound Physician
051686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00952795A
—
GA
05
—
00952795B
—
GA
05
—
00952795C
—
GA
01
—
1346357217
NPI - VASCULAR RADIOLOGY
—
01
—
83555
SC MEDICAL LICENSE
SC
05
—
G51686
—
SC
Enumeration date
04/21/2006
Last updated
11/18/2025
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