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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013931617 | NPPES |
| Georgia | MEDICAID | 783381411B |
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