Provider Demographics
NPI:1437561347
Name:ZACHOWSKI, EMILY ANN (DO)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:ZACHOWSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 JOHNS CREEK PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6095
Mailing Address - Country:US
Mailing Address - Phone:000-000-0000
Mailing Address - Fax:
Practice Address - Street 1:4385 JOHNS CREEK PKWY STE 250
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6095
Practice Address - Country:US
Practice Address - Phone:770-476-6130
Practice Address - Fax:770-476-6131
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04188207Q00000X
NY278813207Q00000X, 207Q00000X
GA85986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine