Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2011-01053 | NC |
Y | 208600000X | Surgeon | 2011-01053 | NC |
NPI | 1013247469 |
---|---|
Provider Name | Alla Zemlyak |
First Address | Charlotte, NC 28219-9305 |
Second Address | Albemarle, NC 28001-3449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2010 |
Last Update Date | 30/11/2020 |