MEDICARE: FRANCKEL VAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	045648	GA

General Provider Information

NPI Number	:	1285721621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCKEL VAL MD

Provider Business Mailing Address
First Line	:	2795 MAIN ST W
Second Line	:	25-B
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-3164
Country	:	US
Telephone Number	:	678-344-4465
Fax Number	:	678-344-4485

Provider Business Practice Location Address
First Line	:	2795 MAIN ST W
Second Line	:	25-B
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-3164
Country	:	US
Telephone Number	:	678-344-4465
Fax Number	:	678-344-4485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	01/20/2010

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