Individual
DR. JOHN ROBERT MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11975 MORRIS ROAD, SUITE 140, ALPHARETTA, GA 30005-4493
(770) 475-4499
(877) 401-3788
Mailing address
11975 MORRIS ROAD, SUITE 140, ALPHARETTA, GA 30005-4493
(770) 475-4499
(877) 401-3788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00799015A
—
GA
Enumeration date
02/25/2007
Last updated
10/24/2017
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