Individual
DR. NEDYALKO NEDYALKOV IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 HOSPITAL BLVD STE 280, ROSWELL, GA 30076-4918
(770) 754-0787
(770) 755-5890
Mailing address
2500 HOSPITAL BLVD STE 280, ROSWELL, GA 30076-4918
(770) 754-0787
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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