Individual
DR. DMITRIY M PELISHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3088 WASHINGTON RD, EAST POINT, GA 30344-4566
(470) 444-3135
(404) 777-9336
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 773-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
062154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321186974A
—
GA
Enumeration date
01/09/2007
Last updated
08/16/2023
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