Healthcare Provider Details
I. General information
NPI: 1518151075
Provider Name (Legal Business Name): AMBER ZAFAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/28/2007
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7830 VETERANS PKWY STE H
COLUMBUS GA
31909-4973
US
IV. Provider business mailing address
2443 BROOKSTONE CENTER PKWY SUITE A
COLUMBUS GA
31904-4501
US
V. Phone/Fax
- Phone: 706-320-8881
- Fax:
- Phone: 706-320-8900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 047384 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: