Zackary J Whitaker
Medical Specialty
Professional ID
- NPI: 1518204486
- PECOS ID: 5395980270
- Enrollment ID: I20130325000424
- Credential(MD, DO, DPM):
- Medical School: Mercer University School Of Medicine
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 110092
- Business Name (LBN)1: Dodge County Hospital
Medical Practices
- Organization Name: First Source Anesthesia Llc
- Group Practice ID assigned by PECOS: 1951693274
- Number of Group Practice member: 10
Location
- Address1: 505 Jenkins St
- Address2:
- City: Lagrange
- State: Georgia
- Zip Code: 30240
- Phone Number: (706)407-0161
Location
- Address1: 615 S Hansell St
- Address2:
- City: Thomasville
- State: Georgia
- Zip Code: 31792
- Phone Number: (229)226-2234
Medical Practices
- Organization Name: Sweet Dreams Nurse Anesthesia, Inc.
- Group Practice ID assigned by PECOS: 5294823266
- Number of Group Practice member: 21
Location
- Address1: 117 Kite Rd
- Address2:
- City: Swainsboro
- State: Georgia
- Zip Code: 30401
- Phone Number: (478)289-1100
Location
- Address1: 901 Griffin Ave
- Address2:
- City: Eastman
- State: Georgia
- Zip Code: 31023
- Phone Number: (478)448-4000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):