Healthcare Provider Details

I. General information

NPI: 1427074012
Provider Name (Legal Business Name): HEARN VASCULAR SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 HUFFMAN MILL RD
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

1238 HUFFMAN MILL RD
BURLINGTON NC
27215-8700
US

V. Phone/Fax

Practice location:
  • Phone: 336-585-1869
  • Fax:
Mailing address:
  • Phone: 336-585-1869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. ANDREW T HEARN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 336-585-1869