Provider Demographics
NPI:1689765307
Name:ZORET, GEORGE DAVID (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DAVID
Last Name:ZORET
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 BENEDICT RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-2939
Mailing Address - Country:US
Mailing Address - Phone:912-267-6270
Mailing Address - Fax:
Practice Address - Street 1:207 BENEDICT RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-2939
Practice Address - Country:US
Practice Address - Phone:912-267-6270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA24744207Q00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGA1131Medicaid
GA000280706FMedicaid
GA00280706BMedicaid
GAP00899442OtherRAILROAD MEDICARE
GA000280706GMedicaid
GA000280706GMedicaid
SCGA1131Medicaid
GAD31888Medicare UPIN