Kountakis, Stilianos E.

Kountakis, Stilianos E. is an individual health care provider with primary practice located at 1120 15Th St Bp-4109, Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kountakis, Stilianos E. can be contacted via phone (706) 721-4400.

Contact Information

Primary practice address
1120 15Th St Bp-4109 Augusta GA 30912-0004
Phone: (706) 721-4400
Fax: (706) 721-0112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 053256 Georgia

Profile Details

NPI number 1508976770
LBN Legal business name Kountakis, Stilianos E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508976770 NPPES
Georgia MEDICAID 375068228A
Georgia MEDICAID G53256

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