Anthony John Pothoulakis MD

NPI 1548269012 - Internal Medicine - 207RC0000X

NPI Details
NPI 1548269012
Gender Male
Enumeration Date 07/18/2005
Last Updated 12/22/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
475 PHILIP BLVD STE 100
LAWRENCEVILLE GA, 30046-8736, US
Phone (770) 995-3300
Fax (770) 995-3307
Business Location
475 PHILIP BLVD STE 100
LAWRENCEVILLE GA, 30046-8736, US
Phone (770) 995-3300
Fax (770) 995-3307
Toxanomy
Taxonomy Code 207RC0000X
License State Georgia
License Number 072758
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According to our database, Anthony John Pothoulakis MD NPI is 1548269012, taxonomy code is 207RC0000X and license number is 072758, license state is located at Georgia. Anthony John Pothoulakis MD physically located at 475 Philip Blvd Ste 100, Lawrenceville GA, 30046-8736. NPI Number Anthony John Pothoulakis MD has the Individual type.

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1548269012 NPI number is provided on an as is basis without warranty of any kind. 1548269012 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony John Pothoulakis MD are for informational purposes only.