Individual
MRS. LYUDMILA TAVROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
137 JOHNSON FERRY RD, SUITE 1200, MARIETTA, GA 30068-4946
(404) 250-6400
(404) 250-6405
Mailing address
137 JOHNSON FERRY RD, SUITE 1200, MARIETTA, GA 30068-4946
(404) 250-6400
(404) 250-6405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838567067A
—
GA
05
—
838567067B
—
GA
Enumeration date
11/02/2005
Last updated
01/31/2013
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