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NPI Code Detail

MEDICARE: MISS CHRISTINE OLEG SYKALO DO

MEDICARE: MISS CHRISTINE OLEG SYKALO DO
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
1207R00000XInternal Medicine Physician91189GA

General Provider Information

NPI Number : 1245735653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHRISTINE OLEG SYKALO DO
Provider Business Mailing Address
First Line : 743 SPRING ST NE STE 710
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-8730
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE STE 710
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-8730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 01/27/2026

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