Provider Demographics
NPI:1215096458
Name:STRONG, ZACHARY BERNARD (IDC)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:BERNARD
Last Name:STRONG
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5399 SEABISCUIT PL
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-4079
Mailing Address - Country:US
Mailing Address - Phone:678-655-4302
Mailing Address - Fax:678-655-5564
Practice Address - Street 1:1000 HALSEY AVE SE BLDG 550
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-4277
Practice Address - Country:US
Practice Address - Phone:678-655-4302
Practice Address - Fax:678-655-5564
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider