Nicholas Theodotou (NPI# 1174764039, PAC ID# 1355692864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1174764039 |
| PAC ID by PECOS | 1355692864 |
| Professional Enrollment ID | I20180922000049 |
| Full Name | Nicholas Theodotou |
| Address |
506 Us Hwy 80 W Pooler GA 31322-2104 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 506 Us Hwy 80 W, Pooler, GA 31322-2104 |
| Street Address |
506 US HWY 80 W |
| City | POOLER |
| State | GA |
| Zip | 31322-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric William Spreeman | Occupational Therapy | Tattnall Hospital Company LLC | 101 W Mulberry Blvd, Suite 140, Pooler, GA 31322 |
| Wayne Depaz | Chiropractic | 1017 Us Hwy 80 E 17, Pooler, GA 31322 | |
| Dawn Hostetter Macmillan | Qualified Audiologist | 410s W Hwy 80, Pooler, GA 31322 | |
| Preston L Peacock | Chiropractic | 408 Us Hwy 80 Sw, Pooler, GA 31322-2541 | |
| Thomas Henry Bombery | Chiropractic | 122 Canal St, Suite 109, Pooler, GA 31322-4015 | |
| Thomas F Danello | Emergency Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Patricia B Butler | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Janet D Ohara | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Angela C Wooley | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Stephen S Pohl | Internal Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Find all physicians in zip 31322 | |||
| City | POOLER |
| Zip Code | 31322 |
| Specialty | ORAL SURGERY |
| City + Specialty | POOLER + ORAL SURGERY |
Please comment or provide details below to improve the information on Nicholas Theodotou.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.