Healthcare Provider Details

I. General information

NPI: 1134290497
Provider Name (Legal Business Name): FRANKEL VAL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 FOUNTAIN DR
SNELLVILLE GA
30078-7022
US

IV. Provider business mailing address

2160 FOUNTAIN DR
SNELLVILLE GA
30078-7022
US

V. Phone/Fax

Practice location:
  • Phone: 770-982-1111
  • Fax: 770-982-7280
Mailing address:
  • Phone: 770-982-1111
  • Fax: 770-982-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number045648
License Number StateGA

VIII. Authorized Official

Name: DR. FRANCKEL VAL
Title or Position: PHYSICIAN OWNER
Credential:
Phone: 770-982-1111