Provider Demographics
NPI:1659078145
Name:AKERS, KAYLA MASHBURN
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MASHBURN
Last Name:AKERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1217
Mailing Address - Street 2:
Mailing Address - City:HIAWASSEE
Mailing Address - State:GA
Mailing Address - Zip Code:30546-1217
Mailing Address - Country:US
Mailing Address - Phone:706-896-0505
Mailing Address - Fax:866-796-2502
Practice Address - Street 1:85 SEASONS LN
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3483
Practice Address - Country:US
Practice Address - Phone:706-896-0505
Practice Address - Fax:866-796-2502
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine