Healthcare Provider Details

I. General information

NPI: 1285571539
Provider Name (Legal Business Name): ERIC ZHENG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 SPRING ST NE
GAINESVILLE GA
30501-3715
US

IV. Provider business mailing address

2901 ROYSTON DR
DULUTH GA
30097-2827
US

V. Phone/Fax

Practice location:
  • Phone: 678-862-6001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number361
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: