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Contact Information

ALEXANDROS ATHANASOPOULOS
650 JOEL DR RM 1BE01D
FORT CAMPBELL, KY42223-5349
 Phone: 270-798-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for ALEXANDROS ATHANASOPOULOS · (Male)

NPI Number 1235605932
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2018
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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