Doctor Name: | GINA ZEIDMAN |
NPI Number: | 1518337708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN199076 |
Business Practice Address: | 2000 Clearview Ave Ste 111 Doraville, GA - 303402137 |
Business Phone Number: | 7704513100 |
Business Fax Number: | |
Mailing Address: | 3709 White Sands Way, SUWANEE |
State: | GA |
Postal Code: | 300247429 |
Phone Number: | 6785387367 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN199076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |