Provider Demographics
NPI:1902123417
Name:ZIBRAZ MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ZIBRAZ MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:OKPES
Authorized Official - Last Name:EHIARINMWIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-577-0611
Mailing Address - Street 1:4259 ELK RUN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-4261
Mailing Address - Country:US
Mailing Address - Phone:770-577-0611
Mailing Address - Fax:770-577-8211
Practice Address - Street 1:4259 ELK RUN
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4261
Practice Address - Country:US
Practice Address - Phone:770-577-0611
Practice Address - Fax:770-577-8211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care