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Individual

GEORGIA MARIA KOUSOULIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
(410) 630-7685

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C5-0000659
DE
363A00000X
Physician Assistant
Primary
C0006463
MD

Other

Enumeration date
03/11/2009
Last updated
06/18/2018
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