Individual
DR. GEORGE T KOULIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MOBILE INFIRMARY CIR, SUITE 213, MOBILE, AL 36607-3520
(251) 438-4200
(251) 438-4211
Mailing address
3 MOBILE INFIRMARY CIR, SUITE 213, MOBILE, AL 36607-3520
(251) 438-4200
(251) 438-4211
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
15405
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051088782
—
AL
01
—
88782
BLUE CROSS
AL
Enumeration date
07/01/2006
Last updated
07/09/2007
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