Individual
MADISON ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 235-3036
Mailing address
305 LANDINGS CT, CHURCHVILLE, MD 21028-1234
(443) 910-0505
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD004294
PROFESSIONAL LICENSE
GA
Enumeration date
10/17/2021
Last updated
10/17/2021
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