Healthcare Provider Details

I. General information

NPI: 1700958238
Provider Name (Legal Business Name): CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1198 WYKE RD
SHELBY NC
28150-4259
US

IV. Provider business mailing address

1198 WYKE RD
SHELBY NC
28150-4259
US

V. Phone/Fax

Practice location:
  • Phone: 704-487-5337
  • Fax: 704-487-7584
Mailing address:
  • Phone: 704-487-5337
  • Fax: 704-487-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. FREDERICK A ZELLER
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 704-487-5337