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Search › Georgia › 363A00000X

Jenna Tkacsik, PAC

NPI 1225718562 · on the registry since 2023

Practice

Address
470 Northside Cherokee Blvd Ste 160
Canton, GA 30115
Phone
(770) 721-9050
Fax
(770) 721-9051
Organisation at this address
Georgia Urology Pa
Georgia Urology Pa
Georgia Urology, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia