Individual
DR. ALAN R OPSAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
638 OLD HISTORIC US 441, DEMOREST, GA 30535
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13122
NH
207RC0000X
Cardiovascular Disease Physician
Primary
95890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30206241
—
NH
Enumeration date
08/05/2006
Last updated
10/18/2023
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