MEDICARE: NANCY L. ZUMSTEIN, M.D., L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	18064	AL

General Provider Information

NPI Number	:	1104887652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY L. ZUMSTEIN, M.D., L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 849
Second Line	:
City	:	SMITHS STATION
State	:	AL
Zip	:	36877-0849
Country	:	US
Telephone Number	:	334-291-8170
Fax Number	:	334-291-8175

Provider Business Practice Location Address
First Line	:	1810 STADIUM DR
Second Line	:	SUITE 110
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-3100
Country	:	US
Telephone Number	:	334-291-8170
Fax Number	:	334-291-8175

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MICHAEL R BECKER
Credential	:
Telephone Number	:	334-291-8170

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	08/22/2020

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