Provider Demographics
NPI:1992928766
Name:HONEYCUTT, JENNIFER ZURAWICK (MD)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ZURAWICK
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:ZURAWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-5635
Mailing Address - Fax:704-316-5640
Practice Address - Street 1:7800 STEVENS MILL RD STE O
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-6111
Practice Address - Country:US
Practice Address - Phone:704-316-9090
Practice Address - Fax:704-316-9095
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41509207R00000X, 208000000X
NC2007-00264208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5908133Medicaid
NC2075013Medicare PIN