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Individual

DR. ANDREY POPYKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201
(678) 797-8259
Mailing address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201
(678) 797-8259

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051715
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000960385A
GA
01
320126
WELLCARE
GA
01
P00240611
RAILROAD MEDICARE
GA
Enumeration date
02/06/2006
Last updated
12/17/2009
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