Provider Demographics
NPI:1902963317
Name:CZAYKOWSKY, ALAIN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:ARTHUR
Last Name:CZAYKOWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 RIVER CENTRE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-7320
Mailing Address - Country:US
Mailing Address - Phone:678-407-8661
Mailing Address - Fax:
Practice Address - Street 1:920 RIVER CENTRE PL
Practice Address - Street 2:SUITE 100
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7320
Practice Address - Country:US
Practice Address - Phone:678-407-8661
Practice Address - Fax:678-407-8662
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036520207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000687343AMedicaid
GAP00218285OtherMEDICARE RAILROAD
GAP00218285OtherMEDICARE RAILROAD
GA000687343AMedicaid