Individual
STEPHANIE L GEORGAKLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2039
(603) 882-5656
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1163
NH
Other
Enumeration date
01/10/2011
Last updated
07/01/2016
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