Individual
DAVID MICHAEL POPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4543
(404) 785-8790
Mailing address
1265 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4543
(404) 785-8790
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
242731
MA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
67960
GA
Other
Enumeration date
04/22/2008
Last updated
07/19/2012
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