Individual
DR. TATYANA Y. SKLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 COLISEUM DR STE 120, MACON, GA 31217-3859
(478) 745-6130
(478) 745-4443
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(478) 745-6130
(478) 745-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198361
PA
207RH0003X
Hematology & Oncology Physician
Primary
077786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190804B
—
GA
05
—
003190804C
—
GA
01
—
202I839371
MEDICARE PTAN
GA
Enumeration date
07/16/2011
Last updated
09/01/2020
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