MEDICARE: MAGGIE ZHU RDH

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	124Q00000X	Dental Hygienist	DH045701	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DH045701	OTHER	GA	GBD

General Provider Information

NPI Number	:	1710856760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGGIE ZHU RDH

Provider Business Mailing Address
First Line	:	4366 LOG CABIN DR
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-5604
Country	:	US
Telephone Number	:	478-471-6060
Fax Number	:	478-476-8009

Provider Business Practice Location Address
First Line	:	4366 LOG CABIN DR
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-5604
Country	:	US
Telephone Number	:	478-471-6060
Fax Number	:	478-476-8009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	05/16/2026

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Directions to “ MAGGIE ZHU RDH” Practice Location

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