Healthcare Provider Details

I. General information

NPI: 1942437132
Provider Name (Legal Business Name): ERIC BRINTON ZURBRUGG MD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 PEACHTREE DUNWOODY ROAD SUITE 500
ATLANTA GA
30342
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY ROAD SUITE 500
ATLANTA GA
30342
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-3535
  • Fax: 404-847-9596
Mailing address:
  • Phone: 404-256-3535
  • Fax: 404-847-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036486
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: