Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036668 | GA |
Y | 204F00000X | Transplant Surgeon | 36699 | SC |
NPI | 1205979564 |
---|---|
Provider Name | Dr. Carlos F Zayas |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-6476 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 18/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G40938 | (02) | GA |