Facebook Twitter Youtube email

print page

Contact Susie or Elizabeth Today!

Call Susie or Elizabeth today if you are considering surgery. This confidential consultation with Susie or Elizabeth will help you get answers to your questions before you schedule an appointment with Dr. Miklos and Dr. Moore.

If you would like Susie or Elizabeth to contact you, please fill out the form to the right.


Call now for a Confidential
Consultation 770-475-4499

Name*
E-Mail*
Address
City
State
Zip
Date of birth
Daytime Phone*
Evening Phone
Select procedure you
are interested in


Insurance Company*
Age
How did you hear about us?
Questions or Comments



Preferred method of contact
Phone Email
Enter the code shown:



3400 Old Milton Pkwy, Building C, Suite 330, Alpharetta, GA 30005 | Call Now for a Consultation 770.475.4499