Mikilitus, Richard John

Mikilitus, Richard John is an individual health care provider with primary practice located at 524 Dixie St , Carrollton GA 30117-3805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mikilitus, Richard John can be contacted via phone (770) 832-2775.

Contact Information

Primary practice address
524 Dixie St Carrollton GA 30117-3805
Phone: (770) 832-2775
Fax: (770) 832-9529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 040159 Georgia

Profile Details

NPI number 1760461305
LBN Legal business name Mikilitus, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760461305 NPPES
Other 5632868 CIGNA
Other 5997084 CIGNA
MEDICAID 000670909A CIGNA
Other 130011906 CIGNA
MEDICAID 000670909F CIGNA
Other 1281548 CIGNA
MEDICAID 009602420 CIGNA
Other 506390 CIGNA
MEDICAID 000670909E CIGNA

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