# ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053684936
- **Authorized official:** DR. STEPHANIE KONG MD (OWNER)
- **Authorized official phone:** (706) 938-0990

## Contact information

- **Practice address:** 210 HANNAHS MILL RD, THOMASTON, GA 30286-2801
- **Practice address phone:** (706) 938-0990
- **Mailing address:** 959 17TH ST STE B, COLUMBUS, GA 31901-1984
- **Mailing address phone:** (706) 507-9127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 39388 | GA | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 03/30/2020