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NPI Code Detail

MEDICARE: ALEXANDRU M GHILEZAN DO

MEDICARE: ALEXANDRU M GHILEZAN 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
12084P0800XPsychiatry PhysicianDO.2462AL
22084P0800XPsychiatry Physician96148GA

General Provider Information

NPI Number : 1346701604
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRU M GHILEZAN DO
Provider Business Mailing Address
First Line : 1100 LAKE HEARN DR
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30342-1523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 LAKE HEARN DR
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30342-1523
Country : US
Telephone Number : 404-365-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 07/10/2023

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