Provider Demographics
NPI:1407808215
Name:WESTON-HILL, ZADA YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:ZADA
Middle Name:YVETTE
Last Name:WESTON-HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2453 POWDER SPRINGS ROAD, SUITE 210
Mailing Address - Street 2:PRO HEALTH AND REHAB
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4570
Mailing Address - Country:US
Mailing Address - Phone:678-567-2313
Mailing Address - Fax:678-567-2259
Practice Address - Street 1:2453 POWDER SPRINGS ROAD, SUITE 210
Practice Address - Street 2:PRO HEALTH AND REHAB
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4570
Practice Address - Country:US
Practice Address - Phone:678-567-2313
Practice Address - Fax:678-567-2259
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA039009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA08CBBFNMedicare ID - Type Unspecified
GAG59909Medicare UPIN