Individual
ELENI ANTZOULATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 JESSE HILL JR DR SE FL 8D, ATLANTA, GA 30303-3049
(404) 616-5051
Mailing address
49 JESSE HILL JR DR SE DEPT, ATLANTA, GA 30303-3049
(404) 616-5051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88801
GA
2084N0400X
Neurology Physician
35135776
OH
2084N0400X
Neurology Physician
Primary
88801
GA
2084N0400X
Neurology Physician
MD.43275
AL
2084N0400X
Neurology Physician
TPME3284
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
05/16/2022
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