Individual
NICOLE KOUNALAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 JOHNSON FY RD NE STE 940A, ATLANTA, GA 30342-1609
(404) 851-6000
Mailing address
980 JOHNSON FY RD NE STE 940A, ATLANTA, GA 30342-1609
(404) 851-6000
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
83380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47529059
—
CO
Enumeration date
06/27/2007
Last updated
07/18/2019
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