Provider Demographics
NPI:1689893794
Name:ZAHM, DAVID LEE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEE
Last Name:ZAHM
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1410 FERN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28625-9376
Mailing Address - Country:US
Mailing Address - Phone:704-873-7012
Mailing Address - Fax:704-660-4164
Practice Address - Street 1:1410 FERN CREEK DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-9376
Practice Address - Country:US
Practice Address - Phone:704-873-7012
Practice Address - Fax:704-660-4164
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC102693363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP09547Medicare UPIN