Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | R067932 | GA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | R067932 | GA |
NPI | 1003910183 |
---|---|
Provider Name | Mrs. Sandra S Zehnder |
First Address | Alpharetta, GA 30022-1409 |
Second Address | Alpharetta, GA 30022-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 05/08/2008 |