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NPI Code Detail

MEDICARE: DR. CAROL LYNNE ZORET MD

MEDICARE: DR. CAROL LYNNE ZORET MD
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
1207R00000XInternal Medicine Physician31225NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639138019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL LYNNE ZORET MD
Provider Business Mailing Address
First Line : 10030 PARK CEDAR DR
Second Line : SUITE 100
City : CHARLOTTE
State : NC
Zip : 28210-8902
Country : US
Telephone Number : 704-543-4058
Fax Number : 704-543-4059
Provider Business Practice Location Address
First Line : 10030 PARK CEDAR DR
Second Line : SUITE 100
City : CHARLOTTE
State : NC
Zip : 28210-8902
Country : US
Telephone Number : 704-543-4058
Fax Number : 704-543-4059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/08/2007

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