Healthcare Provider Details

I. General information

NPI: 1740548312
Provider Name (Legal Business Name): BRIAN CHRISTOPHER ZANONI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 PONCE DE LEON AVE NE
ATLANTA GA
30308
US

IV. Provider business mailing address

2015 UPPERGATE DRIVE 5TH FLOOR
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-2440
  • Fax:
Mailing address:
  • Phone: 404-727-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number83807
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number83807
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: