Individual
DR. IGOR SINIAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
79701
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-0220028-2
BCBS MI
MI
01
—
P00799113
RR MEDICARE
MI
Enumeration date
03/28/2007
Last updated
06/12/2023
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