Individual
DR. CARL RUDOLPH ZOOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
055361
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
055361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203187675
TAX ID
GA
05
—
965077042A
—
GA
Enumeration date
10/16/2006
Last updated
04/06/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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