Individual
GREGORY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3240 N E EXPY NE, ATLANTA, GA 30341-4003
(404) 408-9330
Mailing address
3240 N E EXPY NE, ATLANTA, GA 30341-4003
(404) 408-9330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10245
GA MEDICAL BOARD
GA
Enumeration date
09/08/2020
Last updated
08/29/2024
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