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Organization
ZANT EXTENDED CARE, INC.
Active
Organization
ZANT EXTENDED CARE, INC.
Active
Parent organization
W. DANIEL ZANT,JR MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
W. DANIEL ZANT,JR MD PC
Authorized official
JENNIFER DUNN (OFFICE MANAGER)
(678) 858-7337
Entity
Organization
Contact information
Practice address
1820 BETHANY RD, MADISON, GA 30650-4701
(706) 342-1555
Mailing address
1820 BETHANY RD, MADISON, GA 30650-4701
(706) 342-1555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00949308A
—
GA
Enumeration date
01/12/2022
Last updated
01/27/2022
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