MEDICARE: DR. ZACHARY EYRE M.D., MBA

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
1	207N00000X	Dermatology Physician	89990	GA

General Provider Information

NPI Number	:	1568994085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY EYRE M.D., MBA

Provider Business Mailing Address
First Line	:	17 EXECUTIVE PARK DR NE STE 115
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2222
Country	:	US
Telephone Number	:	404-737-2333
Fax Number	:	404-737-2444

Provider Business Practice Location Address
First Line	:	17 EXECUTIVE PARK DR NE STE 115
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2222
Country	:	US
Telephone Number	:	404-737-2333
Fax Number	:	404-737-2444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	02/18/2026

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