Individual
MR. JOHN JAMES ZITZELBERGER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(706) 888-2733
Mailing address
6534 BEAVER TRL, MIDLAND, GA 31820-4317
(762) 408-3107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-117462
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN124557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000941432B
—
GA
Enumeration date
08/09/2005
Last updated
11/18/2024
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