# KEN ZOODSMA & ASSOCIATES

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

## Provider details

- **NPI number:** 1912116914
- **Authorized official:** DR. KENNETH ROGER ZOODSMA D.C. (PRESIDENT)
- **Authorized official phone:** (478) 390-6321

## Contact information

- **Practice address:** 749 RIVERSIDE DRIVE LN, MACON, GA 31201-2658
- **Practice address phone:** (478) 390-6321
- **Mailing address:** 12485 CONCORD HALL DR, ALPHARETTA, GA 30005-4386
- **Mailing address phone:** (478) 390-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR005027 | GA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020