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NPI Code Detail

MEDICARE: DR. DAVID WAYNE ZIMMERMAN M.D.

MEDICARE: DR. DAVID WAYNE ZIMMERMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician64101GA
2207Q00000XFamily Medicine Physician34060SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
234060OTHERSCLICENSE

General Provider Information

NPI Number : 1366649931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WAYNE ZIMMERMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 2510
Second Line :
City : EVANS
State : GA
Zip : 30809-2510
Country : US
Telephone Number : 706-922-8251
Fax Number : 706-922-6695
Provider Business Practice Location Address
First Line : 131 RINEHART WAY
Second Line :
City : AIKEN
State : SC
Zip : 29803-1703
Country : US
Telephone Number : 803-335-2200
Fax Number : 803-649-7966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 05/23/2024

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