MEDICARE: MICHELLE DENISE ZOOK M.D.

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	207R00000X	Internal Medicine Physician	MD442786	PA
2	207R00000X	Internal Medicine Physician	82310	SC

General Provider Information

NPI Number	:	1558520965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DENISE ZOOK M.D.

Provider Business Mailing Address
First Line	:	1646 HIGHWAY 160 W STE 583
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8010
Country	:	US
Telephone Number	:	803-620-4728
Fax Number	:	866-308-1089

Provider Business Practice Location Address
First Line	:	1646 HIGHWAY 160 W STE 583
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8010
Country	:	US
Telephone Number	:	803-620-4728
Fax Number	:	866-308-1089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	08/19/2025

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Directions to “ MICHELLE DENISE ZOOK M.D.” Practice Location

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