Individual
ERICA PAEZ-ZAPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 RIVERBEND DR SW STE 210, ROME, GA 30161-6019
(706) 528-4949
(706) 204-8274
Mailing address
18 RIVERBEND DR SW STE 210, ROME, GA 30161-6019
(706) 528-4949
(706) 204-8274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
075112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170656A
—
GA
05
—
003170656B
—
GA
01
—
075112
GA COMPOSITE MEDICAL BOARD
GA
01
—
102I370895
MEDICARE PTAN
GA
Enumeration date
05/26/2009
Last updated
07/20/2020
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