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SAMUEL W MIETLING
1350 WALTON WAY AUGUSTA GA 309012612
SAMUEL W MIETLING is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1750347589. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 648358663. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is VASCULAR RADIOLOGY ASSOCIATES, II. The address is 1350 WALTON WAY, , AUGUSTA, GA, 309012612. The zip code is 309012612.
|Nation Provider ID||1750347589|
|PAC ID by PECOS||648358663|
|Professional Enrollment ID||I20080416000333|
|Name||SAMUEL W MIETLING|
|Medical School Name||UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE|
|Primary Specialty||DIAGNOSTIC RADIOLOGY|
|All secondary specialties||INTERVENTIONAL RADIOLOGY|
|Organization Name||VASCULAR RADIOLOGY ASSOCIATES, II|
|Group Practice PAC ID||1456345651|
|Number of Group Practice members||10|
|Address||1350 WALTON WAY, , AUGUSTA, GA, 309012612|
|Hospital affiliation LBN||UNIVERSITY HEALTH SERVICES, INC.|