Basic Information
Provider Information
NPI: 1316424690
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAKRZEWSKI
FirstName: ABIGAIL
MiddleName: C
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2122 MANCHESTER EXPY
Address2:  
City: COLUMBUS
State: GA
PostalCode: 319046878
CountryCode: US
TelephoneNumber: 7063202773
FaxNumber: 7065964226
Practice Location
Address1: 2122 MANCHESTER EXPY
Address2:  
City: COLUMBUS
State: GA
PostalCode: 319046878
CountryCode: US
TelephoneNumber: 7065964000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2018
LastUpdateDate: 10/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X1-127577ALN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100XRN203501GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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