Zooberg, Carl Rudolph

Zooberg, Carl Rudolph is an sole proprietor health care provider with primary practice located at 125 W Gibson St , Hartwell GA 30643-1848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Zooberg, Carl Rudolph can be contacted via phone (706) 856-6983.

Contact Information

Primary practice address
125 W Gibson St Hartwell GA 30643-1848
Phone: (706) 856-6983
Fax: (706) 856-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 055361 Georgia
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 055361 Georgia

Profile Details

NPI number 1629158613
LBN Legal business name Zooberg, Carl Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Apr 6th, 2011 - about 14 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 1629158613 NPPES
Georgia MEDICAID 965077042A
Georgia Other 203187675

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