Basic Information
| Provider Information | |||||||||
| NPI: | 1821045279 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHONG | ||||||||
| FirstName: | HUA | ||||||||
| MiddleName: | JANE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2612 HOLCOMB BRIDGE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300225494 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2612 HOLCOMB BRIDGE RD | ||||||||
| Address2: | STE 100 | ||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300225494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706508980 | ||||||||
| FaxNumber: | 7706505589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2006 | ||||||||
| LastUpdateDate: | 10/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 046020 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 52728581-003 | 01 | GA | BLUE CHOICE | OTHER | 7474051 | 01 | GA | AETNA | OTHER | 000817363F | 01 | MEDICARE WINDWARD | OTHER | 000817363D | 05 | GA | MEDICAID | P00990697 | 01 | GA | MEDICARE RAILROAD | OTHER |