MEDICARE: MRS. LYUDMILA TAVROVSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	053190	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083605687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYUDMILA TAVROVSKY MD

Provider Business Mailing Address
First Line	:	137 JOHNSON FERRY RD
Second Line	:	SUITE 1200
City	:	MARIETTA
State	:	GA
Zip	:	30068-4946
Country	:	US
Telephone Number	:	404-250-6400
Fax Number	:	404-250-6405

Provider Business Practice Location Address
First Line	:	137 JOHNSON FERRY RD
Second Line	:	SUITE 1200
City	:	MARIETTA
State	:	GA
Zip	:	30068-4946
Country	:	US
Telephone Number	:	404-250-6400
Fax Number	:	404-250-6405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	01/31/2013

Similar Medicare Providers

1881221497 — BIRVA TRIVEDI MD
Practice Location Address:

137 JOHNSON FERRY RD STE 1200
MARIETTA, GA
30068-4946

Practice Phone: 773-292-8200
Practice Fax:

1083315659 — MR. KEVIN MITCHELL SPIKES FNP
Practice Location Address:

4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA
30068-4357

Practice Phone: 678-341-6370
Practice Fax:

1508928821 — SHARON L KING M.D.
Practice Location Address:

4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA
30068-4357

Practice Phone: 678-341-6370
Practice Fax: 770-509-0601

1376546341 — NEUROSPORT PHYSICAL THERAPY & REHABILITATION SPECIALIST INC.
Practice Location Address:

1163 JOHNSON FERRY RD , STE 100
MARIETTA, GA
30068-2764

Practice Phone: 770-321-0155
Practice Fax: 770-321-8426

1457354185 — ALISON DRAKE-BARRACK M.D.
Practice Location Address:

1230 JOHNSON FERRY PL , SUITE H 15
MARIETTA, GA
30068-2048

Practice Phone: 678-738-7601
Practice Fax: 678-738-7605

1326041971 — DR. JAMES RALPH SMOUSE D.D.S.
Practice Location Address:

1000 JOHNSON FERRY RD , BLDG H
MARIETTA, GA
30068-5518

Practice Phone: 770-977-0364
Practice Fax: 678-819-6531

Directions to “ MRS. LYUDMILA TAVROVSKY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.