Individual
JERRY THOMAS ZIGLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 E LEE AVE, DBA YADKIN MEDICAL ASSOCIATES, YADKINVILLE, NC 27055-8132
(336) 679-2661
(336) 679-7056
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 679-7056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989921
—
NC
Enumeration date
04/04/2006
Last updated
07/08/2007
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