Individual
MRS. MELINDA ZACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Mailing address
6036 CHAMPIONS CREST DR, CHARLOTTE, NC 28269-6252
(757) 335-2227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05583
NC
363A00000X
Physician Assistant
Primary
50005095RX
OH
Other
Enumeration date
02/06/2015
Last updated
07/21/2022
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