Individual
WILLIAM MATTHEW ZBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD, STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-89968
—
NC
01
—
89968
BCBSNC
NC
01
—
930067629
RR MEDICARE
NC
05
—
N39504
—
SC
Enumeration date
05/20/2006
Last updated
12/05/2023
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