Organization
W. DANIEL ZANT,JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DUNN (OFFICE MANAGER)
(706) 342-1555
Entity
Organization
Contact information
Practice address
1820 BETHANY RD, MADISON, GA 30650-4701
(706) 342-1555
(706) 342-3917
Mailing address
1820 BETHANY RD, MADISON, GA 30650-4701
(706) 342-1555
(706) 342-3917
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
050292
GA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00949308A
—
GA
Enumeration date
07/10/2018
Last updated
05/28/2024
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