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NPI Code Detail

MEDICARE: MIKHAIL A RYBIN APRN

MEDICARE: MIKHAIL A RYBIN APRN
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
1363LF0000XFamily Nurse Practitioner23487SC
2363LF0000XFamily Nurse Practitioner5012957NC
3163WM0705XMedical-Surgical Registered NurseRN264549GA

General Provider Information

NPI Number : 1780242412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKHAIL A RYBIN APRN
Provider Business Mailing Address
First Line : PO BOX 740013
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 WILKINSON BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5631
Country : US
Telephone Number : 704-393-7720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2019
Last Update Date : 04/13/2026

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Directions to “ MIKHAIL A RYBIN APRN” Practice Location

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