Healthcare Provider Details

I. General information

NPI: 1558366138
Provider Name (Legal Business Name): TERRI LYNN ZACCO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 RAWLS RD
ANGIER NC
27501-8539
US

IV. Provider business mailing address

3186 VILLAGE DR 201
FAYETTEVILLE NC
28304-3979
US

V. Phone/Fax

Practice location:
  • Phone: 919-331-2001
  • Fax: 919-331-2003
Mailing address:
  • Phone: 910-486-5700
  • Fax: 910-486-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number9600790
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: