Provider Demographics
NPI:1871773515
Name:CAROL L. ZORET, MD
Entity type:Organization
Organization Name:CAROL L. ZORET, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZORET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-543-4058
Mailing Address - Street 1:10030 PARK CEDAR DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8918
Mailing Address - Country:US
Mailing Address - Phone:704-543-4058
Mailing Address - Fax:704-543-4059
Practice Address - Street 1:10030 PARK CEDAR DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8918
Practice Address - Country:US
Practice Address - Phone:704-543-4058
Practice Address - Fax:704-543-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8989962Medicaid
NCC82225Medicare UPIN