Whitaker, Zachary Jordan

Whitaker, Zachary Jordan is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitaker, Zachary Jordan can be contacted via phone (912) 535-5555.

Contact Information

Primary practice address
1 Meadows Pkwy Vidalia GA 30474-8759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6460 Georgia

Profile Details

NPI number 1750649653
LBN Legal business name Whitaker, Zachary Jordan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated May 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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