Individual
KIMBERLY M MIECHIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 785-3800
(404) 785-3808
Mailing address
3100 TUCKERSHAM CT, TUCKER, GA 30084
(404) 352-2020
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
002954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001956
—
GA
Enumeration date
06/07/2006
Last updated
07/30/2015
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