Individual
MS. ZENITH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
LEO JENKINS CANCER CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858
(252) 744-2383
(252) 744-3565
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0001-03097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970019376
RAILROAD MEDICARE
NC
Enumeration date
02/02/2006
Last updated
04/21/2010
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