Individual
CLINTON BALLARD ZIMMERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
579 GREENWAY RD, SUITE 200, BOONE, NC 28607-4809
(828) 262-0100
(828) 264-7592
Mailing address
579 GREENWAY RD, SUITE 200, BOONE, NC 28607-4809
(828) 262-0100
(828) 264-7592
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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