Tatum-Kodzai, Za'Vette Mignon

Tatum-Kodzai, Za'Vette Mignon is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Tatum-Kodzai, Za'Vette Mignon can be contacted via phone (910) 323-8594.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 323-8594
Fax: (910) 323-5795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200000993 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 200000993 North Carolina

Profile Details

NPI number 1033210398
LBN Legal business name Tatum-Kodzai, Za'Vette Mignon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 26th, 2010 - about 14 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 1033210398 NPPES
North Carolina Other 50076855 RAILROAD MEDICARE
North Carolina Other 127N8 RAILROAD MEDICARE
North Carolina Other 127N8 RAILROAD MEDICARE
North Carolina MEDICAID 89129N8 RAILROAD MEDICARE

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