person
Dr. Michael L Klyachkin, MD
Vascular Surgery Physician in Macon, Georgia
NPI 1811976053

Michael L Klyachkin is a Vascular Surgery Physician based in Macon, GA and is specialized in Vascular Surgery. Michael L Klyachkin practices in Macon, GA and has the professional credentials of MD. The NPI Number for Michael L Klyachkin is 1811976053 and holds a License No. 54760 (Georgia).

The current practice location address for Michael L Klyachkin is 688 Walnut St, Macon, GA and can be reached out via phone at 478-742-7566 and via fax at 478-743-2804.

Location: 688 Walnut St, Macon, GA, 31201-2677
person
Provider Profile Details
NPI Number
1811976053
Provider Name
Michael L Klyachkin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
688 Walnut St, Macon, GA, 31201-2677
Phone Number
478-742-7566
Fax Number
478-743-2804
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511I770014 01 MEDICARE
519931565A 05 GA
institution
Provider Business Practice Location Address Details
Address
688 Walnut St
City
State
Zip
31201-2677
Phone Number
478-742-7566
Fax Number
478-743-2804
person
Provider Business Mailing Address Details
Address
688 Walnut St
City
State
Zip
31201-2677
Phone Number
478-742-7566
Fax Number
478-743-2804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
54760 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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