Individual
MR. ZACH N ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1350 S KINGS DR, 3RD FLR, CHARLOTTE, NC 28207-2134
(704) 446-1337
Mailing address
1350 S KINGS DR, 3RD FLR, CHARLOTTE, NC 28207-2134
(704) 446-1337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
06020
NC
Other
Enumeration date
04/18/2012
Last updated
05/17/2016
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