Individual
ALIAKSANDR DZMITRYIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 BILL CARRUTH PKWY, HIRAM, GA 30141-3749
(470) 732-4022
(470) 732-4023
Mailing address
3822 WESLEY CHAPEL RD, MARIETTA, GA 30062-4177
(404) 823-0282
(470) 732-4023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003831
NY
207R00000X
Internal Medicine Physician
268775
NY
208M00000X
Hospitalist Physician
003831
NY
208M00000X
Hospitalist Physician
268775
NY
208M00000X
Hospitalist Physician
Primary
71490
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03360607
—
NY
Enumeration date
08/11/2008
Last updated
11/05/2019
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