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1407415672
NICHOLAS KOULLAS
MACON, GA
NPI
1407415672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 12155)
Enumeration Date
2019-06-11
Last Update Date
2020-10-15
Business Address
NICHOLAS KOULLAS DO
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1891
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Mailing Address
NICHOLAS KOULLAS DO
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number:
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