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Individual

DR. MICHAEL ZOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5201 FREDERICK STREET, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039
Mailing address
5201 FREDERICK STREET, SAVANNAH, GA 31405-4501
(912) 351-3030
(912) 351-3039

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
018570
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
18570
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00132283K
GA
Enumeration date
08/09/2005
Last updated
04/01/2010
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