Individual
DR. DANKO CERENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, M.D.
Contact information
Practice address
1240 HIGHWAY 54 W BLDG 700 STE 710, FAYETTEVILLE, GA 30214-4565
(770) 991-2800
(770) 997-3827
Mailing address
1240 HIGHWAY 54 W BLDG 700 STE 710, FAYETTEVILLE, GA 30214-4565
(770) 991-2800
(770) 997-3827
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
033244
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
033244
GA
207YX0901X
Otology & Neurotology Physician
033244
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000578597C
—
GA
05
—
000578597D
—
GA
05
—
000578597E
—
GA
01
—
2747255
AETNA
GA
01
—
40016984
RAILROAD MEDICARE
GA
01
—
52048662
BCBS OF GEORGIA
GA
01
—
5896670
CIGNA
GA
Enumeration date
07/01/2005
Last updated
02/09/2022
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