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Individual

HEATHER ANN PICKFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
620 SUMMIT CROSSING PL, STE 106, GASTONIA, NC 28054
(704) 867-8021
(704) 864-4606
Mailing address
620 SUMMIT CROSSING PL, STE 106, GASTONIA, NC 28054
(704) 867-8021
(704) 864-4606

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9801015
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1220H
BLUE CROSS BLUE SHIELD
01
1642998
UNITED HEALTHCARE
01
2353138
AETNA HMO
01
32567
PARTNERS
01
5425709
AETNA PPO
05
891220H
NC
01
95741
MEDCOST
05
N01015
SC
Enumeration date
11/22/2005
Last updated
07/08/2007
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