Individual
DAVID ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1260 N ARENDELL AVE, ZEBULON, NC 27597-8730
(919) 235-1965
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-08654
NC
363AM0700X
Medical Physician Assistant
C0005900
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-08654
STATE LICENSE
NC
05
—
1982075073
—
NC
Enumeration date
10/14/2015
Last updated
12/23/2021
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