Vassiliou, Vassilakis

Vassiliou, Vassilakis is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 130 , Canton GA 30115-8017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vassiliou, Vassilakis can be contacted via phone (678) 493-2527.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 130 Canton GA 30115-8017
Phone: (678) 493-2527
Fax: (678) 593-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004684 Georgia

Profile Details

NPI number 1295826105
LBN Legal business name Vassiliou, Vassilakis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 5th, 2018 - about 7 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 1295826105 NPPES
Georgia MEDICAID 000456211C
Georgia MEDICAID 000456211G
Georgia MEDICAID 000456211D
Georgia MEDICAID 000456211F
Georgia MEDICAID 000456211E

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