person
Nathaniel Theodore Koutlas, MD
Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina
NPI 1609439694

Nathaniel Theodore Koutlas is a Student in an Organized Health Care Education/Training Program based in Chapel Hill, NC. Nathaniel Theodore Koutlas practices in Chapel Hill, NC and has the professional credentials of MD. The NPI Number for Nathaniel Theodore Koutlas is 1609439694 and holds a License No. 250584 (North Carolina).

The current practice location address for Nathaniel Theodore Koutlas is 101 Manning Dr Rm 1017, Chapel Hill, NC and can be reached out via phone at 984-974-1072.

Location: 101 Manning Dr Rm 1017, Chapel Hill, NC, 27517-6227
person
Provider Profile Details
NPI Number
1609439694
Provider Name
Nathaniel Theodore Koutlas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Manning Dr Rm 1017, Chapel Hill, NC, 27517-6227
Phone Number
984-974-1072
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Manning Dr Rm 1017
City
State
Zip
27514-4226
Phone Number
984-974-1072
Fax Number
person
Provider Business Mailing Address Details
Address
101 Manning Dr Rm 1017
City
State
Zip
27514-4226
Phone Number
984-974-1072
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
250584 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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