Dr. James David Mikolajczak
General Practice Physician
3110 Maccorkle Ave Se
Charleston
, West Virginia 25304-1210
Dr. James David Mikolajczak
General Practice Physician
3110 Maccorkle Ave Se
Charleston
, West Virginia 25304-1210
(229) 257-5523
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. James David Mikolajczak
- 23d Medical Group 3278 Mitchell Blvd
- Moody Afb, GA
- Zip : 31699-1500
- Phone : (229) 257-5523
Second Address
- Dr. James David Mikolajczak
- 3110 Maccorkle Ave Se
- Charleston, WV
- Zip : 25304-1210
- Phone : (304) 768-3941
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FAQs
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Is Dr. James David Mikolajczak a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 2793 | WV |
National Provider Identifier
| NPI | 1013279587 |
|---|---|
| Provider Name | Dr. James David Mikolajczak |
| First Address | Moody Afb, GA 31699-1500 |
| Second Address | Charleston, WV 25304-1210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2012 |
| Last Update Date | 02/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.