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NPI Code Detail

MEDICARE: SUSAN COLGAN ZIMMERMAN

MEDICARE: SUSAN COLGAN ZIMMERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA002562GA

General Provider Information

NPI Number : 1003293432
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN COLGAN ZIMMERMAN
Provider Business Mailing Address
First Line : 3635 HORIZON CT
Second Line :
City : CUMMING
State : GA
Zip : 30041-5761
Country : US
Telephone Number : 678-457-6947
Fax Number :
Provider Business Practice Location Address
First Line : 815 ATLANTA RD
Second Line :
City : CUMMING
State : GA
Zip : 30040-2707
Country : US
Telephone Number : 678-947-0952
Fax Number : 678-847-3579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/06/2015

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Directions to “ SUSAN COLGAN ZIMMERMAN ” Practice Location

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