Individual
ASHLEY GEORGAKOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6304 BRACKETT RD, KNOXVILLE, TN 37938-3303
(865) 705-2204
Mailing address
6304 BRACKETT RD, KNOXVILLE, TN 37938-3303
(865) 705-2204
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-122086
TN
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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