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Dr. Tatyana Dervil, DPM
Student in an Organized Health Care Education/Training Program in Decatur, Georgia
NPI 1396525861

Tatyana Dervil is a Student in an Organized Health Care Education/Training Program based in Ellenwood, GA. Tatyana Dervil practices in Decatur, GA and has the professional credentials of DPM. The NPI Number for Tatyana Dervil is 1396525861 and holds a License No. (Georgia).

The current practice location address for Tatyana Dervil is 1670 Clairmont Rd, Decatur, GA and can be reached out via phone at 404-695-2611.

Location: 1670 Clairmont Rd, Decatur, GA, 30294-3619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396525861
Provider Name
Tatyana Dervil
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1670 Clairmont Rd, Decatur, GA, 30294-3619
Phone Number
404-695-2611
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1670 Clairmont Rd
City
Decatur
State
Georgia
Zip
30033-4004
Phone Number
404-695-2611
Fax Number
person
Provider Business Mailing Address Details
Address
1670 Clairmont Rd
City
Decatur
State
Georgia
Zip
30033-4004
Phone Number
404-695-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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