Individual
CHRISTOPHER LAURENCE HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-6200
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01072564A
IN
207L00000X
Anesthesiology Physician
36630
SC
207LP3000X
Pediatric Anesthesiology Physician
Primary
36630
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
10/21/2020
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