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NPI Code Detail

MEDICARE: LAURA M. ZUCKER M.D.

MEDICARE: LAURA M. ZUCKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician041397GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053317917
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA M. ZUCKER M.D.
Provider Business Mailing Address
First Line : 1285 HEMBREE RD
Second Line :
City : ROSWELL
State : GA
Zip : 30076-5720
Country : US
Telephone Number : 770-442-1050
Fax Number : 770-442-9618
Provider Business Practice Location Address
First Line : 1285 HEMBREE RD
Second Line :
City : ROSWELL
State : GA
Zip : 30076-5720
Country : US
Telephone Number : 770-442-1050
Fax Number : 770-442-9618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2007

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Directions to “ LAURA M. ZUCKER M.D.” Practice Location

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