Healthcare Provider Details

I. General information

NPI: 1861780223
Provider Name (Legal Business Name): LAWSON ZEBUL HUNLEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 01/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 CAROLINA BLVD
CLYDE NC
28721-7052
US

IV. Provider business mailing address

PO BOX 1209
FRANKLIN NC
28744-0569
US

V. Phone/Fax

Practice location:
  • Phone: 828-627-2211
  • Fax: 828-627-2211
Mailing address:
  • Phone: 828-349-6800
  • Fax: 828-349-6810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2013-02502
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: