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NPI Code Detail

MEDICARE: MS. HEATHER M GARRISON PA-C

MEDICARE: MS. HEATHER M GARRISON PA-C
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
1207R00000XInternal Medicine Physician0010-00819NC
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1477620813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER M GARRISON PA-C
Provider Business Mailing Address
First Line : 1380 EASTCHESTER DR STE 111
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-2658
Country : US
Telephone Number : 336-885-5033
Fax Number : 336-885-5036
Provider Business Practice Location Address
First Line : 109 PENNY RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-2500
Country : US
Telephone Number : 336-821-4067
Fax Number : 336-821-4046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 03/19/2020

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