Individual
JUSTIN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 828-8000
Mailing address
1082 WOODBURY CIR, HARRISONBURG, VA 22802-2667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WMW09424001W
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
07/17/2017
Last updated
07/17/2017
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