Fedovskiy, Aleksandr

Fedovskiy, Aleksandr is an individual health care provider with primary practice located at 1133 Eagles Landing Pkwy , Stockbridge GA 30281-5085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Fedovskiy, Aleksandr can be contacted via phone (678) 604-1053.

Contact Information

Primary practice address
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085
Phone: (678) 604-1053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003692 Georgia

Profile Details

NPI number 1346224763
LBN Legal business name Fedovskiy, Aleksandr
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346224763 NPPES
Georgia MEDICAID 100000335A

Popular Providers