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MICHELLE ZEANAH MD PC NPI 1760981609


NPI Information

NPI: 1760981609
Provider Name: MICHELLE ZEANAH MD PC

Doing Business As: BEHAVIORAL PEDIATRICS OF RURAL GEORGIA

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
406 SAVANNAH AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4379
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MICHELLE ZEANAH MD PC is a medical specialty clinic center in Statesboro, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MICHELLE ZEANAH MD PC NPI is 1760981609. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Pediatrics Of Rural Georgia.

The provider's business location address is:

406 SAVANNAH AVE
STATESBORO, GA
ZIP 30458-102
Phone: (912) 489-4379
Fax: (912) 681-4379

The provider's authorized official is Michelle Reynolds Zeanah .
The authorized official title is Owner and has the following contact phone number (912) 489-4379.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 12/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM2500XClinic/CenterMedical Specialty56388GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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