Provider Demographics
NPI:1457684722
Name:HOPKINS, COURTNEY K (DO)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:K
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 1:9851 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-3101
Mailing Address - Country:US
Mailing Address - Phone:770-852-4024
Mailing Address - Fax:770-852-4927
Practice Address - Street 1:9851 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-3101
Practice Address - Country:US
Practice Address - Phone:770-852-4024
Practice Address - Fax:770-852-4927
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA62050207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine