Provider Demographics
NPI:1366912958
Name:AKINS, REBECCA VERNICE (RPH)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:VERNICE
Last Name:AKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:V
Other - Last Name:AKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REBECCA V AKINS RPH
Mailing Address - Street 1:1898 GRAND SUMMIT DR. #147
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721
Mailing Address - Country:US
Mailing Address - Phone:706-260-9651
Mailing Address - Fax:
Practice Address - Street 1:1200 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720
Practice Address - Country:US
Practice Address - Phone:706-272-6430
Practice Address - Fax:706-272-6375
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA147761835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care