Individual
NATHANIEL THEODORE KOUTLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1146 FRANCK ST, 101, ALCOA, TN 37701
(865) 694-7725
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
74215
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
74215
TN
Other
Enumeration date
04/16/2019
Last updated
02/17/2026
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