DIMITRIOS K VAVLAS

ATHENS, GA
NPI1407322563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  8083)
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
DIMITRIOS K VAVLAS AA
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-227-3450
Mailing Address
DIMITRIOS K VAVLAS AA
PO BOX 3204
INDIANAPOLIS, IN 46206-3204
Phone number: 706-227-3450
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