Individual
CARYL JOAN HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6 MINES RD # E2, BLUE HILL, ME 04614-6408
(207) 266-9760
(207) 910-6545
Mailing address
6 MINES RD # E2, BLUE HILL, ME 04614-6408
(207) 266-9760
(207) 910-6545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2653
ME
207QA0505X
Adult Medicine Physician
DO2653
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3744507
—
NJ
Enumeration date
10/10/2006
Last updated
07/01/2024
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