Gorham, Zerah Kenya
Gorham, Zerah Kenya is an sole proprietor health care provider with primary practice located at 1700 Medical Way Eastside Medical Center, Snellville GA 30278. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gorham, Zerah Kenya can be contacted via phone (770) 736-2376.Contact Information
Primary practice address
1700 Medical Way Eastside Medical Center
Snellville GA 30278
Phone: (770) 736-2376
Fax: (770) 736-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 034839 | Georgia |
Profile Details
| NPI number | 1013954684 |
|---|---|
| LBN Legal business name | Gorham, Zerah Kenya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Mar 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013954684 | NPPES |
| Georgia | MEDICAID | 000483106N |
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