Provider Demographics
NPI:1568562973
Name:DUNN OB GYN ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DUNN OB GYN ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-892-4092
Mailing Address - Street 1:608 TILGHMAN DR
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-5525
Mailing Address - Country:US
Mailing Address - Phone:910-892-4092
Mailing Address - Fax:910-892-0788
Practice Address - Street 1:608 TILGHMAN DR
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5525
Practice Address - Country:US
Practice Address - Phone:910-892-4092
Practice Address - Fax:910-892-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27758174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0146COtherBLUE CROSS BLUE SHIELD
NC5568147OtherAETNA US HEALTHCARE
NC890146CMedicaid
NC5568147OtherAETNA US HEALTHCARE
NCC44149Medicare UPIN