Provider Demographics
NPI:1710010897
Name:TARPLEY, ALACIA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALACIA
Middle Name:JOY
Last Name:TARPLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5041 DALLAS HWY STE 600
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6458
Mailing Address - Country:US
Mailing Address - Phone:770-874-0692
Mailing Address - Fax:770-874-0696
Practice Address - Street 1:5041 DALLAS HWY STE 600
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-6458
Practice Address - Country:US
Practice Address - Phone:770-874-0692
Practice Address - Fax:770-874-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA40802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11SCFLGMedicare ID - Type UnspecifiedGROUP # GRP7330
GAG54577Medicare UPIN