Provider Demographics
NPI:1912913344
Name:AKERS, GEORGE ROGER
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ROGER
Last Name:AKERS
Suffix:
Gender:M
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 186
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-0186
Mailing Address - Country:US
Mailing Address - Phone:434-821-1066
Mailing Address - Fax:434-332-7798
Practice Address - Street 1:767 VILLAGE HIGHWAY
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-0186
Practice Address - Country:US
Practice Address - Phone:434-332-7798
Practice Address - Fax:434-332-7798
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201000009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA39784800001Medicare ID - Type Unspecified