Organization
MICHELLE ZEANAH MD PC
Active
Other names
Behavioral Pediatrics of Rural Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE REYNOLDS ZEANAH MD (OWNER)
(912) 489-4379
Entity
Organization
Contact information
Practice address
406 SAVANNAH AVE, STATESBORO, GA 30458-5102
(912) 489-4379
(912) 681-4379
Mailing address
406 SAVANNAH AVE, STATESBORO, GA 30458-5102
(912) 489-4379
(912) 681-4379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
56388
GA
Other
Enumeration date
02/06/2018
Last updated
12/28/2023
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