Provider Demographics
NPI:1558457952
Name:HOPKINS, ALICIA M (DO)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 459
Mailing Address - Street 2:MEDLINK GEORGIA
Mailing Address - City:COLBERT
Mailing Address - State:GA
Mailing Address - Zip Code:30628-0459
Mailing Address - Country:US
Mailing Address - Phone:706-788-3234
Mailing Address - Fax:706-788-2936
Practice Address - Street 1:11 CHARLIE MORRIS RD
Practice Address - Street 2:MEDLINK COLBERT
Practice Address - City:COLBERT
Practice Address - State:GA
Practice Address - Zip Code:30628-2445
Practice Address - Country:US
Practice Address - Phone:706-788-2127
Practice Address - Fax:706-788-2815
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016013216207Q00000X
KY03148207Q00000X
LAD.O. 000022207Q00000X
MS20048207Q00000X
OH34.009829207Q00000X
TXP1652207Q00000X
UT9580996-1204207Q00000X
KS05-38660207Q00000X
IADO-04810207Q00000X
IL036139524207Q00000X
OK5894207Q00000X
WI65191-21207Q00000X
NE1466207Q00000X
ALDO.1598207Q00000X
GA066506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1059599Medicaid
GA003113869AMedicaid
GA003113869AMedicaid