Individual
DR. GEORGANN A POULOS
Active
Individual
DR. GEORGANN A POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
120088
OH
207N00000X
Dermatology Physician
MD442702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35120088
OHIO MEDICAL LICENSE
OH
01
—
MD442702
PENNSYLVANIA LICENSE NUMBER
PA
Enumeration date
08/28/2007
Last updated
01/10/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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