Healthcare Provider Details

I. General information

NPI: 1629998620
Provider Name (Legal Business Name): SILVIYA YORDANOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N PEACHTREE PKWY
PEACHTREE CITY GA
30269-4209
US

IV. Provider business mailing address

232 CLIFTON LN
PEACHTREE CITY GA
30269-4226
US

V. Phone/Fax

Practice location:
  • Phone: 770-486-7211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH036316
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: