Provider Demographics
NPI:1700148293
Name:ZARANDY, ERIK D (DO)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:D
Last Name:ZARANDY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6085
Mailing Address - Country:US
Mailing Address - Phone:770-623-1331
Mailing Address - Fax:
Practice Address - Street 1:4375 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE 320
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6085
Practice Address - Country:US
Practice Address - Phone:770-623-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC43227043Medicare PIN
SC015833Medicaid