Basic Information
| Provider Information | |||||||||
| NPI: | 1316369499 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZEIGLER | ||||||||
| FirstName: | KERRY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 BENSON DR | ||||||||
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| City: | TRAVELERS REST | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296908781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645086175 | ||||||||
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| Practice Location | |||||||||
| Address1: | 555 EAST CHEVES STREET | ||||||||
| Address2: | MCLEOD REGIONAL MEDICAL CENTER | ||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437772000 | ||||||||
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| ProviderEnumerationDate: | 01/09/2014 | ||||||||
| LastUpdateDate: | 01/09/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 18643 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.