Organization
ZONE HEALING CENTER-ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HURST PEACOCK D.C. (CO-OWNER)
(404) 587-0871
Entity
Organization
Contact information
Practice address
931 MONROE DR NE, SUITE C-206, ATLANTA, GA 30308-1793
(404) 587-0871
Mailing address
931 MONROE DR NE, SUITE C-206, ATLANTA, GA 30308-1793
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CHIR008298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306905807
INDIVIDUAL NPI
—
01
—
51001163
BLUE CROSS/BLUE SHIELD
AL
01
—
K495
MEDICARE GROUP
AL
Enumeration date
02/26/2008
Last updated
02/26/2008
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