Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 049130 | GA |
N | 207YP0228X | Pediatric Otolaryngology | 049130 | GA |
N | 207YS0123X | Facial Plastic Surgeon | 049130 | GA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 049130 | GA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 049130 | GA |
NPI | 1629066543 |
---|---|
Provider Name | Julie L Zweig |
First Address | Suwanee, GA 30024-6048 |
Second Address | Suwanee, GA 30024-6048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000897718D | (05) | GA |
000897718I | (05) | GA |
H31443 | (02) |