Provider Demographics
NPI:1720077878
Name:GIATIS KESSLER, IOANNA (DO, FACOFP)
Entity Type:Individual
Prefix:
First Name:IOANNA
Middle Name:
Last Name:GIATIS KESSLER
Suffix:
Gender:F
Credentials:DO, FACOFP
Other - Prefix:
Other - First Name:IOANNA
Other - Middle Name:Z
Other - Last Name:GIATIS KESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, FACOFP
Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:231 N JUDD PKWY NE
Practice Address - Street 2:STE 100
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2385
Practice Address - Country:US
Practice Address - Phone:919-235-6410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007705G207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine