Individual provider · Type 1 NPI

Samuel W. Mietling, MD

Vascular & Interventional Radiology Physician · Jacksonville, FL

NPI number 1750347589 Active

Practice location

2416 Dunn Avenue
Jacksonville, FL 32218-1015

Fax (904) 353-3858

Mailing address

PO Box 3129
Augusta, GA 30914-3129

Other practice locations

  • 250 E Ponce De Leon Ave Ste 100, Decatur, GA 30030-3406 · (404) 377-9171
  • 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 · (678) 533-6120

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X051686 (GA)
Diagnostic Radiology Physician 2085R0202X051686 (GA)
Diagnostic Ultrasound Physician 2085U0001X051686 (GA)
Vascular & Interventional Radiology Physician Primary 2085R0204X051686 (GA)
Vascular & Interventional Radiology Physician 2085R0204XME49311 (FL)
Nuclear Radiology Physician 2085N0904X051686 (GA)
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X051686 (GA)
Body Imaging Physician 2085B0100X051686 (GA)
Diagnostic Radiology Physician 2085R0202XME49311 (FL)
Pediatric Radiology Physician 2085P0229X051686 (GA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1750347589

Samuel W. Mietling, MD's National Provider Identifier is 1750347589, issued on Apr 21, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 18, 2025.