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Contact Information

NICOLE KOUNALAKIS, MD
980 JOHNSON FY RD NE STE 940A
ATLANTA, GA30342-1609
 Phone: 404-851-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICOLE KOUNALAKIS · (Female)

NPI Number 1902003684
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2007
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 83380
  • CO Medicaid 47529059
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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