Individual
DR. HESTON CHANNING LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1612 AZALEA DR, WILMINGTON, NC 28403-4860
(910) 538-4009
(910) 335-8967
Mailing address
1612 AZALEA DR, WILMINGTON, NC 28403-4860
(910) 538-4009
(910) 335-8967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101274846
VA
207P00000X
Emergency Medicine Physician
Primary
200401250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138M8
BCBS
NC
05
—
5901260
—
NC
01
—
E3576
MEDCOST
NC
01
—
P00247883
RAILROAD MEDICARE
NC
01
—
P00328065
RAILROAD MEDICARE
NC
05
—
Q0125A
—
SC
Enumeration date
06/17/2005
Last updated
02/16/2025
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