Organization
JAMES F ZUMSTEIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS JEAN CANNON (OFFICE MANANGER)
(334) 664-0219
Entity
Organization
Contact information
Practice address
1810 STADIUM DRIVE, SUITE 230, PHENIX CITY, AL 36867-3100
(334) 664-0219
(334) 664-0224
Mailing address
1810 STADIUM DRIVE, SUITE 230, PHENIX CITY, AL 36867-3100
(334) 664-0219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00017633
AL
207Q00000X
Family Medicine Physician
037931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51515341ZUM
BCBS
AL
01
—
52580378-001
BCBS
GA
01
—
P00009293
PALMETTO MEDICARE RAILROA
—
Enumeration date
08/18/2006
Last updated
08/22/2020
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