Individual
MS. DONIELLE M. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
301 E WENDOVER AVE, SUITE 411, GREENSBORO, NC 27401-1230
(336) 832-3200
(336) 832-3201
Mailing address
1200 N ELM ST, SUITE 411, GREENSBORO, NC 27401-1004
(336) 832-3200
(336) 832-3201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101135
FL
363AS0400X
Surgical Physician Assistant
Primary
102812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290763100
—
FL
01
—
E3461
BCBS
FL
Enumeration date
07/11/2005
Last updated
12/05/2012
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