| Doctor Name: | MS. AMANDA ANNE ZIMMERMAN |
| NPI Number: | 1265525497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 101887 |
| Business Practice Address: | 2554 Lewisville Clemmons Rd Ste 210 Clemmons, NC - 270128110 |
| Business Phone Number: | 3367409444 |
| Business Fax Number: | 3367409445 |
| Mailing Address: | 2554 Lewisville Clemmons Rd, Ste 210 CLEMMONS |
| State: | NC |
| Postal Code: | 270128110 |
| Phone Number: | 3367409444 |
| Fax Number: | 3367409445 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 02/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 101887 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |