Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1-144052 | AL |
NPI | 1003404856 |
---|---|
Provider Name | Zachary Andrew Curtis |
First Address | Athens, AL 35611-2422 |
Second Address | Athens, AL 35611-2422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2021 |
Last Update Date | 07/01/2021 |