Individual
ORTHODOXIA POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1684 DUNWOODY TRL NE, ATLANTA, GA 30324-2706
(404) 964-7185
Mailing address
1684 DUNWOODY TRL NE, ATLANTA, GA 30324-2706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007737
GA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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