| Chuck Zanone, Ph.d., Llc | |
|
1551 Jennings Mill Rd Unit 2000b Watkinsville GA 30677-7252 | |
| (706) 201-6921 | |
| (888) 858-1679 |
| Full Name | Chuck Zanone, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1551 Jennings Mill Rd Unit 2000b, Watkinsville, Georgia |
| Authorized Official Name and Position | Charles Francis Zanone (PSYCHOLOGIST) |
| Authorized Official Contact | 7062016921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chuck Zanone, Ph.d., Llc 1551 Jennings Mill Rd Unit 2000b Watkinsville GA 30677-7252 Ph: (706) 201-6921 | Chuck Zanone, Ph.d., Llc 1551 Jennings Mill Rd Unit 2000b Watkinsville GA 30677-7252 Ph: (706) 201-6921 |
| NPI Number | 1801503081 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Medicare PECOS PAC ID | 2668842790 |
|---|---|
| Medicare Enrollment ID | O20230105001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801503081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Charles F Zanone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275711921 PECOS PAC ID: 5496806945 Enrollment ID: I20090624000241 |
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