Provider Demographics
NPI:1104845353
Name:WILEY, ZANTHIA E (MD)
Entity Type:Individual
Prefix:
First Name:ZANTHIA
Middle Name:E
Last Name:WILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:EMORY MIDTOWN INFECTIOUS DISEASES - 7TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-686-8114
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:EMORY CRAWFORDLONG HOSPITAL - HOSPITAL MEDICINE DEPT
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-686-7869
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA054293207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI33847Medicare UPIN