Individual
DR. ZACHARY JAMES NELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2711 RANDOLPH RD, SUITE 503, CHARLOTTE, NC 28207-2034
(704) 332-5115
(704) 332-5116
Mailing address
2711 RANDOLPH RD, SUITE 503, CHARLOTTE, NC 28207-2034
(704) 332-5115
(704) 332-5116
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
413
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
413
NC
213ES0131X
Foot Surgery Podiatrist
413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790801Y
—
NC
05
—
NPD413
—
SC
01
—
P00667385
MEDICARE RAILROAD
NC
Enumeration date
11/16/2005
Last updated
08/11/2022
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