Healthcare Provider Details

I. General information

NPI: 1093832297
Provider Name (Legal Business Name): WILLIAM RICHARD ZINK PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 HOSPITAL DR
BREVARD NC
28712
US

IV. Provider business mailing address

800 N JUSTICE ST # 16
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-884-9111
  • Fax: 828-883-5104
Mailing address:
  • Phone: 828-694-8350
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-00847
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: