Individual
ZERAH KENYA GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 MEDICAL WAY, EASTSIDE MEDICAL CENTER, SNELLVILLE, GA 30278
(770) 736-2376
(770) 736-2379
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 736-2440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000483106N
—
GA
Enumeration date
06/01/2006
Last updated
03/20/2017
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