Individual
MR. JERRY ANDERSON HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5229 ROCK CREEK RD, HAYS, NC 28635-9267
(336) 696-2711
(336) 696-2829
Mailing address
5229 ROCK CREEK RD, HAYS, NC 28635-9267
(336) 696-2711
(336) 696-2829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100336
NC
Other
Enumeration date
06/15/2006
Last updated
12/01/2010
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