Nikolai Mashtalov

NPI #1164208310 in Fort Eisenhower, Georgia

Provider Information

NPI Number: 1164208310
Entity Type: Individual
Name: Nikolai Mashtalov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 5, 2023
Last Updated: Sep 5, 2023

Practice Location

Address: 300 EAST HOSPITAL ROAD
City: Fort Eisenhower
State: Georgia
ZIP Code: 30905-5650
Phone: (706) 787-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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