Individual
DR. LAUREL ELISE ZOLLARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
811 SALADO CREEK LN, GEORGETOWN, TX 78633-6009
(512) 688-1585
Mailing address
2050 ARMINDA CT, ALPHARETTA, GA 30022-1591
(770) 752-9132
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
044615
GA
2085R0202X
Diagnostic Radiology Physician
Primary
27967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000838527C
—
GA
05
—
009940924
—
AL
05
—
009940926
—
AL
05
—
009940927
—
AL
05
—
009940928
—
AL
05
—
009940929
—
AL
Enumeration date
05/19/2006
Last updated
09/08/2021
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