Individual
TATYANA B SKLYAREVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7516
(478) 743-1458
(478) 755-1332
Mailing address
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7516
(478) 743-1458
(478) 755-1332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
52633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185295196L
—
GA
Enumeration date
05/17/2007
Last updated
12/22/2025
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