Individual
ANDREW THOMAS TKACZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE FL 9, ATLANTA, GA 30308
(404) 778-3381
Mailing address
510 E PONCE DE LEON AVE APT C, DECATUR, GA 30030-1971
(443) 538-3769
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
79944
GA
Other
Enumeration date
03/21/2013
Last updated
08/27/2018
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