Provider Demographics
NPI:1447915145
Name:POPE, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:POPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-4516
Mailing Address - Country:US
Mailing Address - Phone:706-333-3466
Mailing Address - Fax:
Practice Address - Street 1:2816 EVANS MILL RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-7440
Practice Address - Country:US
Practice Address - Phone:770-482-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9482227900000X
GAPT015097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist