Healthcare Provider Details

I. General information

NPI: 1144962556
Provider Name (Legal Business Name): DAVID ANDREW ZEALLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL CAMPUS DRIVE
GOLDSBORO NC
27531-2301
US

IV. Provider business mailing address

2803 MEDICAL CAMPUS DRIVE
GOLDSBORO NC
27531-2301
US

V. Phone/Fax

Practice location:
  • Phone: 937-775-7792
  • Fax:
Mailing address:
  • Phone: 937-775-7792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.152133
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: