Provider Demographics
NPI:1902082738
Name:MIHLON, FRANK RICHARD IV (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:RICHARD
Last Name:MIHLON
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:609 VIRGINIA AVE NE
Mailing Address - Street 2:APT 5210
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-5106
Mailing Address - Country:US
Mailing Address - Phone:504-296-5003
Mailing Address - Fax:
Practice Address - Street 1:69 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3033
Practice Address - Country:US
Practice Address - Phone:404-616-7028
Practice Address - Fax:404-525-2957
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002686207R00000X
VA01012561362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine