| Zandoc Group Corp | |
|
2759 Delk Rd Se Ste 1603 Marietta GA 30067-8887 | |
| (678) 668-1173 | |
| Not Available |
| Full Name | Zandoc Group Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2759 Delk Rd Se Ste 1603, Marietta, Georgia |
| Authorized Official Name and Position | Dariellys Drago (ADMINISTRATOR) |
| Authorized Official Contact | 6786681173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zandoc Group Corp 2759 Delk Rd Se Ste 1603 Marietta GA 30067-8887 Ph: (678) 668-1173 | Zandoc Group Corp 2759 Delk Rd Se Ste 1603 Marietta GA 30067-8887 Ph: (678) 668-1173 |
| NPI Number | 1881202752 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881202752 | NPI | - | NPPES |
| 279474230B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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