Individual
NICHOLAS KOULLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1365 CLIFTON RD NE, BLDG A FLR 2, ATLANTA, GA 30322
(404) 778-7973
Mailing address
1365 CLIFTON RD NE, BLDG A FLR 2, ATLANTA, GA 30322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
105423
GA
Other
Enumeration date
06/11/2019
Last updated
07/22/2025
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