Healthcare Provider Details

I. General information

NPI: 1326367574
Provider Name (Legal Business Name): JIANDONG ZHANG M.D. &. PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 REGIONAL CIR
PINEHURST NC
28374-9796
US

IV. Provider business mailing address

7 REGIONAL CIR
PINEHURST NC
28374-9796
US

V. Phone/Fax

Practice location:
  • Phone: 910-715-8600
  • Fax: 910-715-8618
Mailing address:
  • Phone: 910-715-8600
  • Fax: 910-715-8618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2018-01815
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018-01815
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: