Organization
ZANDOC GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIELLYS DRAGO ARNP (ADMINISTRATOR)
(678) 668-1173
Entity
Organization
Contact information
Practice address
2759 DELK RD SE STE 1603, MARIETTA, GA 30067-8887
(678) 668-1173
Mailing address
2759 DELK RD SE STE 1603, MARIETTA, GA 30067-8887
(678) 668-1173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279474230B
—
GA
Enumeration date
07/16/2020
Last updated
07/16/2020
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