Individual
ZACHARY W SANDBULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ROBINHOOD MEDICAL PLZ, WINSTON SALEM, NC 27106
(336) 718-7950
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2013-01052
NC
Other
Enumeration date
04/29/2010
Last updated
10/25/2020
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