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Individual

DR. JEFFREY DAVID ZWIREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-7918
(770) 495-1477
(770) 495-1488
Mailing address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-7918
(770) 495-1477
(770) 495-1488

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
030569
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00373876A
GA
01
52238496-001
BCBS
GA
01
686636
FIRST HEALTH
GA
Enumeration date
09/25/2006
Last updated
07/08/2007
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