Individual
TODD WILLIAM IWANICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3580 PIEDMONT RD NE # 215, ATLANTA, GA 30305-1506
(404) 800-5744
(404) 777-2931
Mailing address
3580 PIEDMONT RD NE # 215, ATLANTA, GA 30305-1506
(404) 800-5744
(404) 777-2931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
039598
GA
Other
Enumeration date
12/05/2006
Last updated
08/19/2025
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