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Brian Mizeski, LAT, ATC

NPI 1568814762 · on the registry since 2016 · sole proprietor

Practice

Address
1053 Cedarview Cir
Hephzibah, GA 30815
Phone
(201) 247-4358

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia