NPI 1407322563

Dimitrios K Vavlas, AA

Practitioner Anesthesiologist Assistant Athens, GA

Practice location

Address: 1230 Baxter St, Athens, GA 30606-3712
Phone: (706) 227-3450
Mailing address: PO Box 3204, Indianapolis, IN 46206-3204

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 8083 (GA)

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Registry record

NPI: 1407322563
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2018
Record last updated: 16 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.