Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 054142 | GA |
Y | 207RP1001X | Pulmonary Disease | 054142 | GA |
N | 207RS0012X | Sleep Medicine | 054142 | GA |
NPI | 1033117940 |
---|---|
Provider Name | Dr. Paul Zolty |
First Address | Marietta, GA 30060-9411 |
Second Address | Marietta, GA 30060-9411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 16/12/2019 |