Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zachary Thomas Self, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104628635

Zachary Thomas Self, MD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-4451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 113889 (GA)

Record details

NPI number1104628635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address1120 15th St, Augusta, GA 30912-0004

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