Individual
NATALYA KOVALENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
06508
GA
363AM0700X
Medical Physician Assistant
Primary
006508
GA
Other
Enumeration date
10/24/2012
Last updated
09/25/2018
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