Individual
MISS KRISTEN ZIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4612 MAIN ST, SHALLOTTE, NC 28470-4452
(910) 444-2970
Mailing address
3729 FRIENDLY ORANGE CT NE, LELAND, NC 28451-9801
(330) 241-8252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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