SearchGeorgia251J00000X

Vida Ziwu-Grunitzky

NPI 1255157988 · on the registry since 2024 · sole proprietor

Practice

Address
117 Mary Gay Ct
Decatur, GA 30030
Phone
(718) 395-0830

Registry record

Primary taxonomy
251J00000X
251J00000X
Also registered as
251E00000X
253Z00000X
314000000X
372600000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia