Nellas, Zachary James

Nellas, Zachary James is an individual health care provider with primary practice located at 2711 Randolph Rd Suite 503, Charlotte NC 28207-2034. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Nellas, Zachary James can be contacted via phone (704) 332-5115.

Contact Information

Primary practice address
2711 Randolph Rd Suite 503 Charlotte NC 28207-2034
Phone: (704) 332-5115
Fax: (704) 332-5116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 413 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 413 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 413 North Carolina

Profile Details

NPI number 1912989849
LBN Legal business name Nellas, Zachary James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 11th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912989849 NPPES
North Carolina MEDICAID 790801Y
North Carolina MEDICAID NPD413
North Carolina Other P00667385

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