Healthcare Provider Details

I. General information

NPI: 1336113919
Provider Name (Legal Business Name): ALISON K ZAVODNY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 LAKEVIEW PKWY STE 700
ALPHARETTA GA
30009-9066
US

IV. Provider business mailing address

4875 PERRY RD
GAINESVILLE GA
30506-6610
US

V. Phone/Fax

Practice location:
  • Phone: 404-576-8229
  • Fax:
Mailing address:
  • Phone: 678-977-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number040443
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number040443
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: