Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2006-00864 | NC |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 51363 | SC |
NPI | 1033140892 |
---|---|
Provider Name | Stephen Zouzoulas |
First Address | Charlotte, NC 28219-9305 |
Second Address | Concord, NC 28025-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 20/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I69733 | (02) | NC |