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NPI Code Detail

MEDICARE: NEYSA S HEYWARD M.D.

MEDICARE: NEYSA S HEYWARD 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
1208000000XPediatrics Physician28649NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
242081OTHERNCNC BC/BS ID NO

General Provider Information

NPI Number : 1104873447
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEYSA S HEYWARD M.D.
Provider Business Mailing Address
First Line : PO BOX 52119
Second Line :
City : DURHAM
State : NC
Zip : 27717-2119
Country : US
Telephone Number : 919-956-4003
Fax Number : 919-956-4535
Provider Business Practice Location Address
First Line : 1301 FAYETTEVILLE ST
Second Line :
City : DURHAM
State : NC
Zip : 27707-2325
Country : US
Telephone Number : 919-956-4000
Fax Number : 919-956-4535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 09/06/2011

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Directions to “ NEYSA S HEYWARD M.D.” Practice Location

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