Popov, Charles J.

Popov, Charles J. is an individual health care provider with primary practice located at 145 Governors Sq Ste A , Peachtree City GA 30269-4861. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Popov, Charles J. can be contacted via phone (770) 668-3130.

Contact Information

Primary practice address
145 Governors Sq Ste A Peachtree City GA 30269-4861
Phone: (770) 668-3130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006004 Georgia

Profile Details

NPI number 1518261908
LBN Legal business name Popov, Charles J.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2010
Last updated Jan 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518261908 NPPES
Georgia MEDICAID 003014588

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