Individual
PETROS GEORGE NIKOLINAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10025711
TX
207RH0003X
Hematology & Oncology Physician
Primary
63106
GA
207RH0003X
Hematology & Oncology Physician
BP10025711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47010044A
—
GA
Enumeration date
06/15/2007
Last updated
07/19/2024
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