ALEXANDER OLEGOVICH KALASHNIKOV

FORT STEWART, ZZ
NPI1275224750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-16
Last Update Date2023-05-16
Business Address
ALEXANDER OLEGOVICH KALASHNIKOV
1061 HARMON AVE
FORT STEWART, ZZ
Phone number: 910-964-4836
Mailing Address
ALEXANDER OLEGOVICH KALASHNIKOV
332 BELLE GROVE CIR
RICHMOND HILL, GA 31324-3743
Phone number: 910-964-4836