ZACKERY KANEL THOMAS


Address: 2782 Green Marsh Court, Decatur, GA 30034
Phone: 4044682677

ZACKERY KANEL THOMAS (NPI# 1154662765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154662765
Entity Type Individual
Full Name ZACKERY KANEL THOMAS
Practice Address 2782 Green Marsh Court
Decatur
GA 30034
Practice Telephone 4044682677
Mailing Telephone 4044682677
Enumeration Date 2013-03-06
Last Update Date 2013-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

Office Location

Street Address 2782 GREEN MARSH COURT
City DECATUR
State GA
Zip Code 30034

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1164916813 Lenina O Chi-ukpai Nurse Practitioner 2942 Secretariat Ct, Decatur, GA 30034 2018-06-17
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720618424 Carunda Porter Driver 1867 Hillsdale Dr, Decatur, GA 30032-4911 2020-01-22
1548642523 Seneca Sherald Driver 3544 Clubhouse Cir E, Apt F, Decatur, GA 30032-2029 2015-06-25
1265847099 Shawna Williams Driver 2268 Clanton Ter, Decatur, GA 30034-1016 2014-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740888379 Candice Leggett Hunter Driver 1505 E Roosevelt Ave, Albany, GA 31705-2061 2020-10-15
1497352488 Cassandra Clayton Driver 10020 Crystal Ter, Jonesboro, GA 30238-7857 2020-10-03
1467066712 Scotty Simmons Driver 320 Cicada Dr Se, Milledgeville, GA 31061-5941 2020-09-03
1760095665 Kiah Hickman Driver 904 Baywood Cir, Morrow, GA 30260-2190 2020-08-28
1154948263 Jacqueline Swanson Driver 703 N Hill Pkwy, Atlanta, GA 30341-1255 2020-07-06
1023631439 Brittany Bennett Driver 30 Peaceful Path Ct, Covington, GA 30016-3411 2020-05-19
1881215499 Nicole Gober Driver 703 Prada Ct, Lawrenceville, GA 30043-8007 2020-05-05
1407477680 Cdg Transpo Driver 1074 Sun Valley Ct, Macon, GA 31211-7593 2020-04-29
1487288981 Mary Rodgers Driver 1875 New Orleans Way, Mcdonough, GA 30252-8692 2020-02-24
1669012266 Regina Marie Land Driver 1809 Laurel Green Way, Atlanta, GA 30344-8215 2020-01-10
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Competitor

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City DECATUR
Zip Code 30034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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