Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD.42384 | AL |
NPI | 1205223617 |
---|---|
Provider Name | Chelsea Zimmerman |
First Address | Opelika, AL 36801-4742 |
Second Address | Opelika, AL 36801-4742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2015 |
Last Update Date | 20/07/2021 |