Provider Demographics
NPI:1578664371
Name:ZOLLER, LINWOOD WILLIAM III (MD)
Entity type:Individual
Prefix:MR
First Name:LINWOOD
Middle Name:WILLIAM
Last Name:ZOLLER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:4921 RILLA RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-2759
Mailing Address - Country:US
Mailing Address - Phone:706-239-7859
Mailing Address - Fax:770-718-2320
Practice Address - Street 1:1700 BARBER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-3318
Practice Address - Country:US
Practice Address - Phone:770-531-6908
Practice Address - Fax:770-718-2320
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-05-21
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Provider Licenses
StateLicense IDTaxonomies
GA028339207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000471578BMedicaid
GA11BDGGMMedicare ID - Type Unspecified