Healthcare Provider Details

I. General information

NPI: 1689765307
Provider Name (Legal Business Name): GEORGE DAVID ZORET MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 10/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 BENEDICT RD
BRUNSWICK GA
31520-2939
US

IV. Provider business mailing address

207 BENEDICT RD
BRUNSWICK GA
31520-2939
US

V. Phone/Fax

Practice location:
  • Phone: 912-267-6270
  • Fax:
Mailing address:
  • Phone: 912-267-6270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24744
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number24744
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: