Basic Information
| Provider Information | |||||||||
| NPI: | 1801824933 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOELTZ | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 175 COUNTRY CLUB DR | ||||||||
| Address2: | BLDG 300, SUITE D | ||||||||
| City: | STOCKBRIDGE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302819054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6782844040 | ||||||||
| FaxNumber: | 6782844076 | ||||||||
| Practice Location | |||||||||
| Address1: | 81 UPPER RIVERDALE RD SW | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | RIVERDALE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302742634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709910020 | ||||||||
| FaxNumber: | 7709949729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 053731 | GA | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.