Individual
DR. SANDRA LEE ZORNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
126 HWY 280, AMERICUS, GA 31719-8645
(229) 931-1320
Mailing address
PO BOX 6626, AMERICUS, GA 31709-6626
(229) 439-7170
(229) 431-0770
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
028340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004562
AL MEDICAL LICENSE#
AL
05
—
000335695A
—
GA
01
—
028340
GA MEDICAL LICENSE#
GA
01
—
22CDBCS
MEDICARE GROUP NUMBER
—
Enumeration date
04/04/2006
Last updated
01/17/2014
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