Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 8915 | SC |
N | 1223G0001X | General Practice | 14878 | MD |
N | 213EG0000X | General Practice | 14878 | MD |
NPI | 1023393329 |
---|---|
Provider Name | Dr. Rebeca Yutzy Zechmann |
First Address | Daniel Island, SC 29492-8612 |
Second Address | Daniel Island, SC 29492-8612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2011 |
Last Update Date | 01/12/2020 |