Provider Demographics
NPI:1154601813
Name:ZEILER, JEFFREY (CPED)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:ZEILER
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 W MAPLE ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2420
Mailing Address - Country:US
Mailing Address - Phone:678-455-5720
Mailing Address - Fax:678-455-2761
Practice Address - Street 1:514 W MAPLE ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2420
Practice Address - Country:US
Practice Address - Phone:678-455-5720
Practice Address - Fax:678-455-2761
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACPED3552174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist