Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 89777 | GA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 89777 | GA |
N | 2086S0105X | Surgery of the Hand | 66057 | MN |
NPI | 1366862492 |
---|---|
Provider Name | Nicole Zelenski |
First Address | Atlanta, GA 30303-3049 |
Second Address | Atlanta, GA 30303-3049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 12/11/2021 |