Healthcare Provider Details

I. General information

NPI: 1720500937
Provider Name (Legal Business Name): CARE PLUS FAMILY MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3576 SHALLOWFORD RD NE STE A
CHAMBLEE GA
30341-2998
US

IV. Provider business mailing address

3576 SHALLOWFORD RD NE STE A
CHAMBLEE GA
30341-2998
US

V. Phone/Fax

Practice location:
  • Phone: 770-451-9940
  • Fax: 770-451-6996
Mailing address:
  • Phone: 770-451-9940
  • Fax: 770-451-6996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number75185
License Number StateGA

VIII. Authorized Official

Name: DR. ZUDONG ZHANG
Title or Position: PRESIDENT
Credential: MD
Phone: 770-451-9940