Individual
DR. EMMANUEL E. ZERVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, LEO JENKINS CANCER SERVICES, GREENVILLE, NC 27834-4300
(252) 744-1888
(252) 744-7005
Mailing address
PO BOX 751069, LEO JENKINS CANCER SERVICES, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME84596
FL
2086X0206X
Surgical Oncology Physician
Primary
200701358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02524
BLUE CROSS BLUE SHIELD
FL
01
—
1455W
BCBSNC
NC
05
—
262133900
—
FL
05
—
5907611
—
NC
Enumeration date
08/13/2006
Last updated
12/21/2020
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