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NPI Code Detail

MEDICARE: MS. JOANN A. HERON PA-C

MEDICARE: MS. JOANN A. HERON 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
1363A00000XPhysician Assistant102134NC
2363A00000XPhysician Assistant642NC
3363AM0700XMedical Physician Assistant3205AZ
4363AM0700XMedical Physician Assistant16313CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01330103OTHERSCRAILROAD MEDICARE

General Provider Information

NPI Number : 1639218100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANN A. HERON PA-C
Provider Business Mailing Address
First Line : PO BOX 2168
Second Line :
City : SPARTANBURG
State : SC
Zip : 29304-2168
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 444 NC HWY 108
Second Line :
City : RUTHERFORDTON
State : NC
Zip : 28139-7871
Country : US
Telephone Number : 828-286-2302
Fax Number : 828-287-4320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 08/14/2014

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1437120755 — JAMES VANJURA M.D.
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
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Practice Fax: 828-287-4320
1427029420 — ROBERT SCOTT LAWRENCE M.D.
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
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1831292788 — SPARTANBURG MEDICAL CENTER
Practice Location Address:
444 NC HIGHWAY 108
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1871683664 — DR. DREW JOHN STEINER MD
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
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Practice Fax: 828-287-4320
1740363449 — NORTH CAROLINA REGIONAL NETWORK
Practice Location Address:
444 NC HIGHWAY 108
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1356483788 — DOUGLAS D SHEETS M.D.
Practice Location Address:
446 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
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Practice Fax: 828-287-8020

Directions to “ MS. JOANN A. HERON PA-C” Practice Location

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