Provider Demographics
NPI:1821045279
Name:ZHONG, HUA JANE (MD)
Entity Type:Individual
Prefix:
First Name:HUA
Middle Name:JANE
Last Name:ZHONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 HOLCOMB BRIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5494
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2612 HOLCOMB BRIDGE RD
Practice Address - Street 2:STE 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5494
Practice Address - Country:US
Practice Address - Phone:770-650-8980
Practice Address - Fax:770-650-5589
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52728581-003OtherBLUE CHOICE
GA7474051OtherAETNA
000817363FOtherMEDICARE WINDWARD
GA000817363DMedicaid
GAP00990697OtherMEDICARE RAILROAD
GA000817363DMedicaid
GA11SCCTCMedicare ID - Type Unspecified