Provider Demographics
NPI:1669933578
Name:PAPADOPOULOS, PIA MILDE (MD)
Entity type:Individual
Prefix:DR
First Name:PIA
Middle Name:MILDE
Last Name:PAPADOPOULOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PIA HELENE
Other - Middle Name:MILDE
Other - Last Name:MAURTVEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:110 PINYON PINE CIR APT 1310
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-5689
Mailing Address - Country:US
Mailing Address - Phone:404-922-7696
Mailing Address - Fax:
Practice Address - Street 1:1010 PRINCE AVE STE 500
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-5805
Practice Address - Country:US
Practice Address - Phone:706-425-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA97210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine