Provider Demographics
NPI:1578507968
Name:ZANONE, DANA BECKER (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:BECKER
Last Name:ZANONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421718
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29442-4203
Mailing Address - Country:US
Mailing Address - Phone:843-527-7000
Mailing Address - Fax:
Practice Address - Street 1:2200 CROW LN STE 301
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-1663
Practice Address - Country:US
Practice Address - Phone:843-848-5300
Practice Address - Fax:843-848-5305
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27043207Q00000X
NC9901364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00171810OtherMEDICARE RAILROAD
NE098684419Medicare PIN
P00171810OtherMEDICARE RAILROAD
NC2294106BMedicare ID - Type Unspecified