| Dr Mary Jean Zimmer, MD | |
|
216 Moore Rd, King, NC 27021-8703 | |
| (336) 983-4346 | |
| Not Available |
| Full Name | Dr Mary Jean Zimmer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 216 Moore Rd, King, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790747756 | NPI | - | NPPES |
| 8989942 | Medicaid | NC | |
| N32918 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 32918 (North Carolina) | Primary |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Jean Zimmer, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1440 | Dr Mary Jean Zimmer, MD 216 Moore Rd, King, NC 27021-8703 Ph: (336) 983-4346 |
Dr. Perry Gale Stone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 132 S Main St, King, NC 27021 Phone: 336-983-2531 Fax: 336-983-2532 | |
Michelle Chidester Linkous, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 167 Moore Rd Ste 201, King, NC 27021 Phone: 336-673-6470 Fax: 336-673-6489 | |
James Edward Jewell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346 Fax: 336-985-5101 |