Individual
CLINTON BALLARD ZIMMERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-71030
UNITED HEALTH CARE
NC
01
—
62308-NOCD
CIGNA
NC
01
—
72758
MEDCOST
NC
05
—
898991E
—
NC
01
—
8991E
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
11/02/2005
Last updated
08/22/2011
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