Healthcare Provider Details

I. General information

NPI: 1356309058
Provider Name (Legal Business Name): JAMES C. ZIMRING M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WOODRUFF CIRCLE SUITE 7301
ATLANTA GA
30322-0001
US

IV. Provider business mailing address

101 WOODRUFF CIRCLE SUITE 7301
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-2174
  • Fax: 404-727-5764
Mailing address:
  • Phone: 404-712-2174
  • Fax: 404-727-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number051109
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: