Healthcare Provider Details

I. General information

NPI: 1417283094
Provider Name (Legal Business Name): ARNOLD ZWEIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LAKE HEARN DR NE SUITE 410
ATLANTA GA
30342-1523
US

IV. Provider business mailing address

1100 LAKE HEARN DR NE SUITE 410
ATLANTA GA
30342-1523
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-9991
  • Fax: 404-252-9994
Mailing address:
  • Phone: 404-252-9991
  • Fax: 404-252-9994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number14225
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number14225
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: