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General NPI Number Information
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NPI Number | 1447143896
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Entity Type | Individual
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Provider Name | ZOIE MAYNARD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3327 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2307
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Country | US
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Telephone | 770-577-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 POST RD
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City | WINSTON
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State | GA
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Zip | 30187-1220
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Country | US
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Telephone | 404-493-8695
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 303465
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License Number State | GA
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