Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Miko, DO

Individual provider Specialist · NPI 1932216785

Theodore Miko, DO is a Specialist in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4391 Fallowfield Ln SW
Lilburn, GA 30047-7405
Phone: (678) 380-4081
Fax: (678) 380-4348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 044966 (GA)

Record details

NPI number1932216785
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4391 Fallowfield Ln Sw, Lilburn, GA 30047-7405

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