Provider Demographics
NPI:1679267082
Name:HATTERAS FAMILY MEDICINE. P.L.L.C.
Entity type:Organization
Organization Name:HATTERAS FAMILY MEDICINE. P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZANARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-580-2531
Mailing Address - Street 1:6 HATTERAS CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-0813
Mailing Address - Country:US
Mailing Address - Phone:336-580-2531
Mailing Address - Fax:
Practice Address - Street 1:4000 OSSI CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8822
Practice Address - Country:US
Practice Address - Phone:336-580-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty