Organization
BETTY V KOUKIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY VASSILIKI KOUKIS (MD)
(229) 785-2335
Entity
Organization
Contact information
Practice address
1405 S MAIN ST, MOULTRIE, GA 31768-5811
(229) 785-2335
Mailing address
30 OAK LN, MOULTRIE, GA 31768-5444
(917) 386-5611
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
GA
Other
Enumeration date
07/24/2017
Last updated
03/10/2020
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