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Individual

DR. MARK W ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070
Mailing address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1104
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-52523
UNITED HEALTHCARE
01
1199588
FIRST HEALTH
01
1568182
CIGNA
01
4558115
AETNA
05
7989860
NC
01
89860
BCBS OF NC
NC
01
A4026
MEDCOST
Enumeration date
08/20/2006
Last updated
07/08/2007
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