Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nikolai Mashtalov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164208310

Nikolai Mashtalov is a Student in an Organized Health Care Education/Training Program in Fort Eisenhower, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

300 E Hospital Rd
Fort Eisenhower, GA 30905-5650
Phone: (706) 787-5811
Fax: (706) 787-1745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164208310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateAugust 31, 2023

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