Individual
DR. GEORGE PAUL TKALYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
1900 10TH AVE, SUITE 2901, COLUMBUS, GA 31901-3600
(706) 596-1327
(706) 320-0789
Mailing address
1900 10TH AVE, SUITE 201, COLUMBUS, GA 31901-3600
(706) 596-1327
(706) 320-0789
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
022480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00222329A
—
GA
Enumeration date
09/06/2006
Last updated
04/23/2012
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