Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CHIR009189 | GA |
NPI | 1285069310 |
---|---|
Provider Name | Dr. Adam Zimmerman |
First Address | Norcross, GA 30071-1335 |
Second Address | Norcross, GA 30071-1335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2013 |
Last Update Date | 09/09/2013 |