Provider Demographics
NPI:1043328073
Name:ZHOU, LINGXIANG (MD)
Entity type:Individual
Prefix:
First Name:LINGXIANG
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5415
Mailing Address - Country:US
Mailing Address - Phone:470-267-1700
Mailing Address - Fax:
Practice Address - Street 1:2570 HOLCOMB BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5415
Practice Address - Country:US
Practice Address - Phone:470-267-1700
Practice Address - Fax:470-986-7146
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA97604208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2193920Medicaid
IA2193920Medicaid
IAI5040Medicare ID - Type Unspecified