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Individual

DR. NEDYALKO NEDYALKOV IVANOV

Active
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Individual

DR. NEDYALKO NEDYALKOV IVANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
15530
GA
207N00000X
Dermatology Physician
20723
FL
207N00000X
Dermatology Physician
5101026012
MI
207N00000X
Dermatology Physician
Primary
98733
GA

Other

Enumeration date
05/23/2019
Last updated
02/12/2024
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