Provider Demographics
NPI:1568994085
Name:EYRE, ZACHARY (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:EYRE
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 HOWELL MILL RD NW STE 211
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4100
Mailing Address - Country:US
Mailing Address - Phone:404-351-7546
Mailing Address - Fax:404-351-2993
Practice Address - Street 1:3280 HOWELL MILL RD NW STE 211
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4100
Practice Address - Country:US
Practice Address - Phone:404-351-7546
Practice Address - Fax:404-351-2993
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA89990207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program