Individual
GEORGE KIRICENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 E BLVD, MONTGOMERY, AL 36116
(334) 271-4545
(334) 271-6920
Mailing address
100 CAPITOL COMMERCE BLVD, BLDG A SUITE 250, MONTGOMERY, AL 36117-4260
(334) 386-1420
(334) 386-1478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7556
AL
Other
Enumeration date
07/04/2006
Last updated
11/14/2011
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