Provider Demographics
NPI:1417975871
Name:AKOPOV, VALERY A (MD)
Entity Type:Individual
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First Name:VALERY
Middle Name:A
Last Name:AKOPOV
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Gender:M
Credentials:MD
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Mailing Address - Street 1:677 CHURCH ST NE
Mailing Address - Street 2:BOX 111
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1101
Mailing Address - Country:US
Mailing Address - Phone:770-793-7750
Mailing Address - Fax:770-793-7755
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:HOSPITAL MEDICINE DEPARTMENT
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-686-7869
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-05-29
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Provider Licenses
StateLicense IDTaxonomies
GA043844207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG55673Medicare UPIN