Healthcare Provider Details

I. General information

NPI: 1942560750
Provider Name (Legal Business Name): WEIHUA ZHANG ANP, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4487 QUARTER HORSE DR NE
ROSWELL GA
30075-3176
US

IV. Provider business mailing address

4487 QUARTER HORSE DR NE
ROSWELL GA
30075-3176
US

V. Phone/Fax

Practice location:
  • Phone: 678-642-1160
  • Fax:
Mailing address:
  • Phone: 678-642-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN131883
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: