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NPI Code Detail

MEDICARE: CHARLOTTE ZINK

MEDICARE:   CHARLOTTE  ZINK
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
1363A00000XPhysician Assistant0010-15544NC

General Provider Information

NPI Number : 1588556708
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE ZINK
Provider Business Mailing Address
First Line : 200 S MAIN ST
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-2760
Country : US
Telephone Number : 336-992-0491
Fax Number :
Provider Business Practice Location Address
First Line : 200 S MAIN ST
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-2760
Country : US
Telephone Number : 262-581-6696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 04/24/2026

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Directions to “ CHARLOTTE ZINK ” Practice Location

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