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Individual

ANTHONY P ZOLLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
124 SUNSET HILL ROAD, STATESVILLE, NC 28625-2729
(704) 872-8711
(704) 872-5866
Mailing address
124 SUNSET HILL RD, STATESVILLE, NC 28625-2729
(704) 872-8711
(704) 872-5866

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102037126
VA
207R00000X
Internal Medicine Physician
Primary
9701905
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010112460
VA
05
010112516
VA
05
010112591
VA
01
1130N
BCBS
NC
01
166428
ANTHEM (GALAX)
VA
01
167242
ANTHEM (W/S)
VA
01
2129939
MAMSI
01
2657722
AETNA
01
5586237
AETNA
01
709406002
CIGNA HEALTHCARE
NC
01
76912
MEDCOST
05
891130N
NC
01
P00208710
MEDICARE RAILROAD
VA
01
TN0105
JOHN DEERE HEALTH (MA)
01
TN0121
JOHN DEERE HEALTH (GAL)
01
TN0122
JOHN DEERE HEALTH (W/S)
Enumeration date
11/09/2005
Last updated
04/02/2021
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