Healthcare Provider Details
I. General information
NPI: 1841569068
Provider Name (Legal Business Name): ZHENHONG ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/16/2011
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6801 AIRPORT BLVD
MOBILE AL
36608-3709
US
IV. Provider business mailing address
2829 VESTAVIA FOREST PL
VESTAVIA AL
35216-2725
US
V. Phone/Fax
- Phone: 251-266-3580
- Fax: 251-266-3581
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 31886 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: