Georgia Maria Kousoulis PA-C

NPI 1376784918 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1376784918
Gender Female
Enumeration Date 03/11/2009
Last Updated 03/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
34434 KING STREET ROW
SUITE 2
LEWES DE, 19958-4787, US
Phone (302) 644-8880
Fax (302) 644-8882
Business Location
34434 KING STREET ROW
SUITE 2
LEWES DE, 19958-4787, US
Phone (302) 644-8880
Fax (302) 644-8882
Toxanomy
Taxonomy Code 2084N0400X
License State Delaware
License Number C5-0000659
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According to our database, Georgia Maria Kousoulis PA-C NPI is 1376784918, taxonomy code is 2084N0400X and license number is C5-0000659, license state is located at Delaware. Georgia Maria Kousoulis PA-C physically located at 34434 King Street Row, Lewes DE, 19958-4787. NPI Number Georgia Maria Kousoulis PA-C has the Individual type.

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1376784918 NPI number is provided on an as is basis without warranty of any kind. 1376784918 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Maria Kousoulis PA-C are for informational purposes only.