Individual
KYRIAKOS TARASIDIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4575 NORTH SHALLOWFORD ROAD, DUNWOODY, GA 30338
(770) 454-4286
(770) 454-4065
Mailing address
344 ROLLING HILL RD, STE 102, MOORESVILLE, NC 28117-6865
(770) 578-1800
(770) 578-6168
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812683459A
—
GA
Enumeration date
05/24/2006
Last updated
02/08/2018
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