Healthcare Provider Details
I. General information
NPI: 1528187770
Provider Name (Legal Business Name): HEY CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2007
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3320 WAKE FOREST RD STE 450
RALEIGH NC
27609
US
IV. Provider business mailing address
3320 WAKE FOREST RD STE 450
RALEIGH NC
27609-7300
US
V. Phone/Fax
- Phone: 919-790-1717
- Fax: 919-926-1163
- Phone: 919-790-1717
- Fax: 919-926-1163
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | 02358 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
LLOYD
A
HEY
Title or Position: PHYSICIAN
Credential: M.D., M.S.
Phone: 919-790-1717