Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 040443 | GA |
N | 111NI0900X | Internist | 040443 | GA |
Y | 207RH0002X | Hospice and Palliative Medicine | 040443 | GA |
NPI | 1336113919 |
---|---|
Provider Name | Dr. Alison K Zavodny |
First Address | Gainesville, GA 30506-6610 |
Second Address | Gainesville, GA 30506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 24/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
386257107A | (05) | GA |
386257107B | (05) | GA |