Zeanah, Michelle R

Zeanah, Michelle R is an sole proprietor health care provider with primary practice located at 406 Savannah Ave , Statesboro GA 30458-5102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Zeanah, Michelle R can be contacted via phone (912) 489-4379.

Contact Information

Primary practice address
406 Savannah Ave Statesboro GA 30458-5102
Phone: (912) 489-4379
Fax: (912) 681-4379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 056388 Georgia
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 56388 Georgia

Profile Details

NPI number 1013931617
LBN Legal business name Zeanah, Michelle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Sep 23rd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013931617 NPPES
Georgia MEDICAID 783381411B

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