Individual provider · Type 1 NPI

Slava M. Belenkiy, MD

Student in an Organized Health Care Education/Training Program · Fort Stewart, GA

NPI number 1104893338 Active

Practice location

1061 Harmon Ave, Ste 1D03
Fort Stewart, GA 31314-5604

Fax (912) 435-5966

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X01059902A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104893338

Slava M. Belenkiy, MD's National Provider Identifier is 1104893338, issued on Mar 7, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Stewart, GA. The record was last updated on Dec 1, 2015.