Provider Demographics
NPI:1639664519
Name:SPEAKMAN, ZUMA (DO)
Entity Type:Individual
Prefix:
First Name:ZUMA
Middle Name:
Last Name:SPEAKMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 29TH AVE NE STE 1
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:212 29TH AVE NE STE 1
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1085
Practice Address - Country:US
Practice Address - Phone:828-732-5350
Practice Address - Fax:828-732-5351
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT018786207Q00000X
NC2023-02012207Q00000X
AZ009114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine