Search › North Carolina › 207RG0100X
Nicholas Koutlas, MD
NPI 1932605821 · on the registry since 2018
Practice
- Address
- 195 Kimel Park Dr Ste 200
Winston Salem, NC 27103 - Phone
- (336) 768-6211
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina