Provider Demographics
NPI:1407400112
Name:GEORGES-ABEYIE, ZAFIR (ATC)
Entity Type:Individual
Prefix:MR
First Name:ZAFIR
Middle Name:
Last Name:GEORGES-ABEYIE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 KENDALL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53726-4008
Mailing Address - Country:US
Mailing Address - Phone:863-205-3547
Mailing Address - Fax:
Practice Address - Street 1:1920 KENDALL AVE APT 2
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53726-4008
Practice Address - Country:US
Practice Address - Phone:863-205-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2206-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer