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Individual

ZACHARY LEE KITZMILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
730 STONY LANDING RD, MONCKS CORNER, SC 29461-2904
(800) 846-7707
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3791
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5016PA
SC
Enumeration date
06/29/2019
Last updated
05/23/2022
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