Zdunich, Michael Zackery

Zdunich, Michael Zackery is an individual health care provider with primary practice located at 8004 Myrtle Trace Dr , Conway SC 29526-8945. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Zdunich, Michael Zackery can be contacted via phone (843) 347-8041.

Contact Information

Primary practice address
8004 Myrtle Trace Dr Conway SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3654 South Carolina

Profile Details

NPI number 1750999660
LBN Legal business name Zdunich, Michael Zackery
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Oct 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750999660 NPPES
South Carolina MEDICAID 4352PA

Popular Providers