Most Relevant Information
Provider Data
| NPI Number: | 1003803354 |
| Provider Name: | MISHANA L. MOGELNICKI PAAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 2478 |
Most Important Dates
| Enumeration Date: | 10/03/2005 |
| Last Updated: | 02/04/2008 |
Provider Practice Location
1000 JOHNSON FERRY RD NE
ATLANTA
GA
303421606
Practice Location Phone/Fax
| Phone: | 7706459181 |
| Fax: | 7706458455 |
Provider Mailing Location
3155 N POINT PKWY
ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100
ALPHARETTA
GA
30005
Provider Mailing Phone/Fax
| Phone: | 7706459181 |
| Fax: | 7706458455 |