Tatyana S Sidorova
NPI #1316639115 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1316639115
- Entity Type
- Individual
- Name
- Tatyana S Sidorova
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 22, 2023
- Last Updated
- May 23, 2023
Practice Location
- Address
- 3925 PEACHTREE RD NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30319-5256
- Phone
- (470) 639-4239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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