Individual
LAWRENCE F ZOTTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 ST. JOSEPH CANDLER DRIVE, SUITE 200, POOLER, GA 31322
(912) 748-1999
(912) 748-3847
Mailing address
101 ST. JOSEPH'S CANDLER DRIVE, SUITE 200, POOLER, GA 31322
(912) 748-1999
(912) 748-3847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036639
GA
207Q00000X
Family Medicine Physician
GA036639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00531286B
—
GA
01
—
80042552
RAILROAD PROVIDER NUMBER
GA
Enumeration date
12/20/2006
Last updated
03/22/2022
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