Individual
TIMOTHY RYAN HEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 ALEXANDER BANK DR STE 300, MOORESVILLE, NC 28117-9624
(704) 660-4584
(704) 660-4967
Mailing address
106 ALEXANDER BANK DR STE 300, MOORESVILLE, NC 28117-9624
(704) 660-4584
(704) 660-4967
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20001489
NC
Other
Enumeration date
06/17/2006
Last updated
09/09/2020
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