Individual
OLEKSANDR BUTSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 977-7823
Mailing address
675 N HIGHLAND AVE NE APT 414, ATLANTA, GA 30306-4695
(404) 977-7823
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
82307
GA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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