Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE MIKO, D.O.
Active Sole ProprietorTHEODORE MIKO, D.O. is a Specialist healthcare provider located in LILBURN, Georgia. NPI 1932216785 is currently active in the NPPES registry. Verify at CMS.
Specialist · LILBURN, GA
Registration Details
- NPI Number
- 1932216785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.935160482291 yrs)
- Last Updated
- Jul 8, 2007
- License
-
044966 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4391 FALLOWFIELD LN SWLILBURN, GA, 300477405Browse GA providers · Browse ZIP 30047
- Phone
- 6783804081
- Fax
- 6783804348
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| LAURA DENNISON | MA, CCC-A | 1538228465 |
| MRS. YOLANDA P BOWDRE | OTRL | 1154511426 |
| REGINALD DEMETRIUS PEEK | MD | 1306076021 |
| DONNA ROGERS | LMT | 1962736520 |
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.