Organization
GEORGE P. TKALYCH, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAUL TKALYCH M.D., PC (MEDICAL DOCTOR / PRESIDENT)
(706) 546-1327
Entity
Organization
Contact information
Practice address
1900 10TH AVENUE, SUITE 201, COLUMBUS, GA 31901-3600
(706) 596-1327
(706) 546-1327
Mailing address
1900 10TH AVENUE, SUITE 201, COLUMBUS, GA 31901-3600
(706) 596-1327
(706) 320-0789
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
022480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222329A
—
GA
Enumeration date
05/08/2012
Last updated
05/08/2012
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