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

Paul Yermachenkov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649110040

Paul Yermachenkov is a Student in an Organized Health Care Education/Training Program in Moultrie, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 502-9753
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 number1649110040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 29, 2026
Mailing address3131 S Main St, Moultrie, GA 31768-6925

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