Healthcare Provider Details

I. General information

NPI: 1194800516
Provider Name (Legal Business Name): DR. SHERRI A ZIMMERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CRESCENT GREEN DR
CARY NC
27518
US

IV. Provider business mailing address

1001 CRESCENT GREEN DR
CARY NC
27518
US

V. Phone/Fax

Practice location:
  • Phone: 919-467-3211
  • Fax: 919-461-8179
Mailing address:
  • Phone: 919-467-3211
  • Fax: 919-461-8179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9401105
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: