Individual
DR. HEATHER LYNN MACADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 S FERDON BLVD STE C5, CRESTVIEW, FL 32536-5287
(850) 682-1164
(850) 682-5302
Mailing address
2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 32308-1550
(850) 385-4494
(850) 298-6054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 102536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005799600
—
FL
Enumeration date
12/11/2008
Last updated
12/15/2014
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