Individual
HEATHER L SCHAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 758-8677
(919) 758-8723
Mailing address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 758-8677
(919) 758-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12112
NC
363A00000X
Physician Assistant
0110004387
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053748780
—
VA
Enumeration date
09/26/2013
Last updated
11/19/2024
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