Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN JOSEPH MIZESKI, LAT, ATC
Active Sole ProprietorMR. BRIAN JOSEPH MIZESKI, LAT, ATC is a Athletic Trainer healthcare provider located in HEPHZIBAH, Georgia. NPI 1568814762 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HEPHZIBAH, GA
Registration Details
- NPI Number
- 1568814762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2016 (10.091934506697 yrs)
- Last Updated
- Jul 12, 2016
- License
-
AT002642 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1053 CEDARVIEW CIRHEPHZIBAH, GA, 308157205Browse GA providers · Browse ZIP 30815
- Phone
- 2012474358
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.