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NPI Code Detail

MEDICARE: JOHN DAVIS HEPLER M.D.

MEDICARE: JOHN DAVIS HEPLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician22925NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861498354
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVIS HEPLER M.D.
Provider Business Mailing Address
First Line : 2600 N ELM ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3011
Country : US
Telephone Number : 910-272-3051
Fax Number : 910-738-3764
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/08/2007

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