Individual
DR. ZA'VETTE MIGNON TATUM-KODZAI
Active
Individual
DR. ZA'VETTE MIGNON TATUM-KODZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200000993
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200000993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127N8
BLUE CROSS BLUE SHIELD
NC
01
—
50076855
RAILROAD MEDICARE
NC
05
—
89129N8
—
NC
Enumeration date
09/26/2006
Last updated
10/26/2010
Update your record
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