Individual
ALEXANDROS ATHANASOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR RM 1BE01D, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
Mailing address
650 JOEL DR RM 1BE01D, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
02/23/2024
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