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Individual

JOHN A. ZELISKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 COWLES CLINC WAY, GREENSBORO, GA 30642-5285
(706) 454-0159
Mailing address
1070 MAPLE RIDGE WAY, GREENSBORO, GA 30642-3933
(803) 312-2572
(803) 765-1732

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21408
SC
207L00000X
Anesthesiology Physician
Primary
82717
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T54884
SC
Enumeration date
03/20/2006
Last updated
09/15/2022
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