Individual
DR. CAROL JANE VANDERZWAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5509 CREEDMOOR RD, RALEIGH, NC 27612-6312
(919) 573-6520
(919) 573-6555
Mailing address
5509 CREEDMOOR RD, RALEIGH, NC 27612-6312
(919) 573-6520
(919) 573-6555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901986
—
NC
Enumeration date
05/04/2009
Last updated
07/01/2021
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