Provider Demographics
NPI:1871529578
Name:HOPKINS, GEORGIA CORLEY (RPH)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:CORLEY
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 STILLWATER TRCE
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-8303
Mailing Address - Country:US
Mailing Address - Phone:770-228-5450
Mailing Address - Fax:
Practice Address - Street 1:104 WOOLSEY RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-2921
Practice Address - Country:US
Practice Address - Phone:770-946-5172
Practice Address - Fax:770-946-5079
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist