Anthony John Pothoulakis in Lawrenceville - Cardiovascular Disease
Anthony John Pothoulakis - NPI 1548269012
Anthony John Pothoulakis is a Cardiovascular Disease in Lawrenceville, Georgia. Anthony John Pothoulakis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Anthony John Pothoulakis is 1548269012. The last update date is 2023-01-14.
Anthony John Pothoulakis's current location address is 475 Philip Blvd Ste 100, Lawrenceville, Georgia. You can contact this provider via phone number 7709953300 and fax number 7709953307. The mailing address for Anthony John Pothoulakis is 475 Philip Blvd Ste 100, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony John Pothoulakis |
|---|---|
| Address | 475 Philip Blvd Ste 100, Lawrenceville, Georgia |
| Phone Number | 7709953300 |
| Fax Number | 7709953307 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548269012 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2023-01-14 |
Provider Mailing Address Detail
| Address | 475 Philip Blvd Ste 100 |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 3004687360 |
| Phone Number | 7709953300 |
| Fax Number | 7709953307 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 72758 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3151345 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony John Pothoulakis by the Centers for Medicare & Medicaid Services?
The Anthony John Pothoulakis has been assigned the NPI (National Provider Identifier) 1548269012. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Anthony John Pothoulakis?
The Anthony John Pothoulakis is situated at 475 Philip Blvd Ste 100, in the city of Lawrenceville, state of GA, with the zip code 3004687360.
What is the area of specialization for Anthony John Pothoulakis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anthony John Pothoulakis is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date was the 1548269012 assigned to Anthony John Pothoulakis?
The Anthony John Pothoulakis was issued its 1548269012 on 2005-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Anthony John Pothoulakis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Anthony John Pothoulakis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-14.