Provider Demographics
NPI:1619194842
Name:ZEH, BRIAN STEPHENSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:STEPHENSON
Last Name:ZEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2221 PEACHTREE RD NE STE D-647
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1148
Mailing Address - Country:US
Mailing Address - Phone:404-351-7654
Mailing Address - Fax:404-609-7605
Practice Address - Street 1:775 POPLAR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-1618
Practice Address - Country:US
Practice Address - Phone:404-351-7654
Practice Address - Fax:404-609-7605
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64313208VP0014X, 207L00000X
GA001010207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology