Individual
ELENA DOLMATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(404) 365-0966
Mailing address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
94031
GA
Other
Enumeration date
04/02/2015
Last updated
06/21/2023
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