Individual
MR. ZACHARY YATES EAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2555 COURT DR, SUITE #460, GASTONIA, NC 28054-2134
(704) 864-6484
Mailing address
PO BOX 550790, GASTONIA, NC 28055-0790
(704) 864-6484
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-06585
NC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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