Provider Demographics
NPI:1477784833
Name:ZIPPERER, CARRIE POWERS (PA)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:POWERS
Last Name:ZIPPERER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FARMFIELD AVE
Mailing Address - Street 2:STE D
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7779
Mailing Address - Country:US
Mailing Address - Phone:803-736-4560
Mailing Address - Fax:803-744-1217
Practice Address - Street 1:220 GRACES WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-1613
Practice Address - Country:US
Practice Address - Phone:803-736-4560
Practice Address - Fax:803-744-1217
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant