Healthcare Provider Details

I. General information

NPI: 1457029571
Provider Name (Legal Business Name): JULIA ZHU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 GLENWOOD AVE STE 100
RALEIGH NC
27612-5515
US

IV. Provider business mailing address

PO BOX 947977
ATLANTA GA
30394-7977
US

V. Phone/Fax

Practice location:
  • Phone: 877-345-5300
  • Fax:
Mailing address:
  • Phone: 877-345-5300
  • Fax: 561-989-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-11619
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: