Dr. Alexandros Georgolios
Otolaryngologist (ENT Doctor)
3100 Oak Grove Rd
Poplar Bluff
, Missouri 63901-1573
Dr. Alexandros Georgolios
Otolaryngologist (ENT Doctor)
3100 Oak Grove Rd
Poplar Bluff
, Missouri 63901-1573
012106545443
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Alexandros Georgolios
- 79 Venizelou Street
- Holargos, ATTIKI
- Zip : 15561
- Phone : 012106545443
Second Address
- Dr. Alexandros Georgolios
- 3100 Oak Grove Rd
- Poplar Bluff, MO
- Zip : 63901-1573
- Phone : (573) 778-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2013045551 | MO |
National Provider Identifier
| NPI | 1053571794 |
|---|---|
| Provider Name | Dr. Alexandros Georgolios |
| First Address | Holargos, ATTIKI 15561 |
| Second Address | Poplar Bluff, MO 63901-1573 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2008 |
| Last Update Date | 31/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.