Provider Demographics
NPI:1891735437
Name:ZAWORSKI, ROBERT E (MD, PC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:ZAWORSKI
Suffix:
Gender:M
Credentials:MD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 JOHNSON FERRY ROAD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1626
Mailing Address - Country:US
Mailing Address - Phone:404-851-9576
Mailing Address - Fax:404-851-9578
Practice Address - Street 1:980 JOHNSON FERRY ROAD
Practice Address - Street 2:SUITE 450
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1626
Practice Address - Country:US
Practice Address - Phone:404-851-9576
Practice Address - Fax:404-851-9578
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17351174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA$$$$$$$$$AOtherMEDICARE PART B