Provider Demographics
NPI:1700820834
Name:ZINK, JOHN FENTON JR (AT,C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FENTON
Last Name:ZINK
Suffix:JR
Gender:M
Credentials:AT,C
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:
Other - Last Name:ZINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSS, LAT, ATC
Mailing Address - Street 1:33 HACKNEY PONY LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-3509
Mailing Address - Country:US
Mailing Address - Phone:843-298-0595
Mailing Address - Fax:843-757-2020
Practice Address - Street 1:39 HOSPITAL CENTER CMNS
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2837
Practice Address - Country:US
Practice Address - Phone:843-689-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer