Individual
JIPS JOHN ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
633 BROOKDALE DR STE 100, STATESVILLE, NC 28677-3471
(704) 873-7850
(704) 838-1544
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101252435
VA
207R00000X
Internal Medicine Physician
266398
NY
207RC0000X
Cardiovascular Disease Physician
2017-01310
NC
207RC0000X
Cardiovascular Disease Physician
266398
NY
207RI0011X
Interventional Cardiology Physician
Primary
201701310
NC
Other
Enumeration date
01/18/2012
Last updated
04/26/2023
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