MEDICARE: DR. DAVID CHARLES OLANSKY 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	207N00000X	Dermatology Physician	22614	GA
2	207ND0101X	MOHS-Micrographic Surgery Physician	22614	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

General Provider Information

NPI Number	:	1689641227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHARLES OLANSKY MD

Provider Business Mailing Address
First Line	:	3379 PEACHTREE RD NE
Second Line	:	SUITE 500
City	:	ATLANTA
State	:	GA
Zip	:	30326-1031
Country	:	US
Telephone Number	:	404-355-5484
Fax Number	:	404-355-5787

Provider Business Practice Location Address
First Line	:	3379 PEACHTREE RD NE
Second Line	:	SUITE 500
City	:	ATLANTA
State	:	GA
Zip	:	30326-1031
Country	:	US
Telephone Number	:	404-355-5484
Fax Number	:	404-355-5787

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

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	10/25/2022

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