SAMUEL W. MIETLING

JACKSONVILLE, FL
NPI1750347589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology Vascular & Interventional Radiology
(Licence: GA  051686)
Additional Taxonomies2085B0100X Radiology Body Imaging
(Licence: GA  051686)
2085D0003X Radiology Diagnostic Neuroimaging
(Licence: GA  051686)
2085N0700X Radiology Neuroradiology
(Licence: GA  051686)
2085N0904X Radiology Nuclear Radiology
(Licence: GA  051686)
2085P0229X Radiology Pediatric Radiology
(Licence: GA  051686)
2085R0202X Radiology Diagnostic Radiology
(Licence: GA  051686)
2085R0202X Radiology Diagnostic Radiology
(Licence: FL  ME49311)
2085R0204X Radiology Vascular & Interventional Radiology
(Licence: FL  ME49311)
2085U0001X Radiology Diagnostic Ultrasound
(Licence: GA  051686)
Enumeration Date2006-04-21
Last Update Date2024-05-23
Business Address
DR. SAMUEL W. MIETLING M.D.
2416 DUNN AVENUE
JACKSONVILLE, FL 32218-1015
Phone number: 904-353-3664
Mailing Address
DR. SAMUEL W. MIETLING M.D.
1125 TROUPE ST P.O. BOX 3129
AUGUSTA, GA 30914-3129
Phone number: 706-737-4575