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Individual

ZACHARY ONEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2803
(252) 744-3616
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
2017-00590
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2017-00590
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417199704
NC
01
19QHH
BCBS OF NC
NC
01
NCY163A
MEDICARE
NC
Enumeration date
04/01/2009
Last updated
12/13/2017
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