Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 122514 | CA |
NPI | 1114216454 |
---|---|
Provider Name | Dr. Sanford Manning Zeigler |
First Address | Charleston, SC 29412-2621 |
Second Address | Charleston, SC 29425-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 06/08/2020 |