Individual
RONALD JAY ZAGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE # D112, ATLANTA, GA 30322-2204
(404) 778-3800
Mailing address
1364 CLIFTON RD NE # D112, ATLANTA, GA 30322-1059
(404) 778-3800
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
90728
GA
2085R0204X
Vascular & Interventional Radiology Physician
28391
NC
2085R0204X
Vascular & Interventional Radiology Physician
G89386
CA
2085U0001X
Diagnostic Ultrasound Physician
28391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198526000
—
WV
01
—
4477989
AETNA
NC
01
—
5170
PARTNERS
NC
01
—
64196
MEDCOST
NC
05
—
7230192
—
VA
05
—
7989892
—
NC
01
—
89892
BCBS
NC
05
—
Q28392
—
SC
Enumeration date
12/01/2005
Last updated
07/13/2022
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