Individual
REBECCA E ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1168 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2444
(757) 352-2020
(757) 352-2021
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952659211
—
VA
Enumeration date
08/16/2012
Last updated
04/16/2020
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