Individual
HEIDI MCDUNNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 715-8700
Mailing address
10 AVIEMORE DR, PINEHURST, NC 28374-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02578
NC
363AS0400X
Surgical Physician Assistant
PA0003381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290473000
—
FL
Enumeration date
02/27/2006
Last updated
01/10/2022
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