Individual
MR. VICTOR CZERKASIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1107 MEMORIAL DR, SUITE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Mailing address
1107 MEMORIAL DR, SUITE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0000012398
TN
363L00000X
Nurse Practitioner
Primary
RN187417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000012398
ADVANVED PRACTICE NURSE
TN
01
—
RN187417
ADVANCED PRACTICE - NP
GA
Enumeration date
12/04/2006
Last updated
11/27/2023
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