Individual
ZOE RENEW SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4321 UNIVERSITY PKWY STE 104, EVANS, GA 30809-3093
(706) 854-2198
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093140659
NPI
GA
01
—
7003
LICENSE
GA
Enumeration date
09/13/2013
Last updated
09/17/2024
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