National Provider Identifier Database

MICHELLE ZEANAH MD PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MICHELLE ZEANAH MD PC
406 SAVANNAH AVE
STATESBORO, GA30458-5102
Phone: 912-489-4379
Fax: 912-681-4379
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for MICHELLE ZEANAH MD PC

NPI Number 1760981609
Legal business name
LBN
MICHELLE ZEANAH MD PC
Authorized official MICHELLE ZEANAH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/06/2018
Last updated 12/28/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 56388

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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