Individual
TAELOR CICHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2150 PEACHFORD RD STE T, ATLANTA, GA 30338-6539
(404) 947-5316
Mailing address
2150 PEACHFORD RD STE T, ATLANTA, GA 30338-6539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
05/31/2023
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