MEDICARE: ZOE PEDIATRIC AFTER HOURS CARE, INC

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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1174971303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOE PEDIATRIC AFTER HOURS CARE, INC

Provider Business Mailing Address
First Line	:	959 17TH STREET
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1984
Country	:	US
Telephone Number	:	706-507-9127
Fax Number	:	706-507-9154

Provider Business Practice Location Address
First Line	:	3033 WILLIAMS ROAD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909
Country	:	US
Telephone Number	:	706-221-7139
Fax Number	:	360-462-5817

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	MRS. LAURA HINSON
Credential	:
Telephone Number	:	706-507-9127

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	10/12/2023

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