Provider Demographics
NPI:1699074484
Name:ZWEMER, ERIC KENYON (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:KENYON
Last Name:ZWEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOSPITAL MEDICINE PROGRAM
Mailing Address - Street 2:5034 OLD CLINIC BUILDING, CB 7110
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7110
Mailing Address - Country:US
Mailing Address - Phone:984-974-1931
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MEDICINE PROGRAM
Practice Address - Street 2:5034 OLD CLINIC BUILDING, CB 7110
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7110
Practice Address - Country:US
Practice Address - Phone:984-974-1931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-20
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA258100208000000X
390200000X
NC207454208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program