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Individual

IGOR SMELYANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1357 HEMBREE RD STE E220, ROSWELL, GA 30076-5722
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
101776
GA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
47683
TN
208VP0000X
Pain Medicine Physician
101776
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524684
TN
Enumeration date
10/23/2006
Last updated
10/30/2025
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