Provider Demographics
NPI:1871560847
Name:AKITA, NAOMI C (MD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:C
Last Name:AKITA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5385 CHELSEN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2435
Mailing Address - Country:US
Mailing Address - Phone:678-709-2436
Mailing Address - Fax:
Practice Address - Street 1:10475 MEDLOCK BRIDGE RD STE 810
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-4437
Practice Address - Country:US
Practice Address - Phone:470-771-2436
Practice Address - Fax:470-545-8673
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA70847207VG0400X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA70847OtherSTATE LICENSE NUMBER
GA70847OtherSTATE LICENSE NUMBER
GA202I168814Medicare PIN