Provider Demographics
NPI:1285721621
Name:VAL, FRANCKEL (MD)
Entity type:Individual
Prefix:
First Name:FRANCKEL
Middle Name:
Last Name:VAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:FRANCKEL
Other - Last Name:VAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2795 MAIN ST W
Mailing Address - Street 2:25-B
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-3164
Mailing Address - Country:US
Mailing Address - Phone:678-344-4465
Mailing Address - Fax:678-344-4485
Practice Address - Street 1:2795 MAIN ST W
Practice Address - Street 2:25-B
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3164
Practice Address - Country:US
Practice Address - Phone:678-344-4465
Practice Address - Fax:678-344-4485
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0456482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26BDKKJMedicare ID - Type Unspecified
GAG24419Medicare UPIN