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Individual

ZACHARY HALE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12165036-1205
UT
207RC0000X
Cardiovascular Disease Physician
28564
SC
207RI0011X
Interventional Cardiology Physician
Primary
98625
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
285649
SC
01
P00979555
RAILROAD MEDICARE
SC
Enumeration date
05/24/2006
Last updated
11/20/2024
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