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1033299680

NPI Code Detail

MEDICARE: JOEL H HELLER MD

MEDICARE: JOEL H HELLER MD

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
1	207Q00000X	Family Medicine Physician	20605	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5556	OTHER	NC	PARTNERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45804	OTHER	NC	MEDCOST
4	41187	OTHER	NC	BCBS OF NC

General Provider Information

NPI Number	:	1033299680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL H HELLER MD

Provider Business Mailing Address
First Line	:	PO BOX 14883
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27415-4883
Country	:	US
Telephone Number	:	336-294-6190
Fax Number	:	336-294-6278

Provider Business Practice Location Address
First Line	:	603A DOLLEY MADISON RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4205
Country	:	US
Telephone Number	:	336-294-6190
Fax Number	:	336-294-6278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	01/10/2008

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Directions to “ JOEL H HELLER MD” Practice Location

Language	Start Address	Practice Location

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