Individual
DR. DAVID E HEAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
298 MEMORAL DRIVE, OCONEE MEMORIAL HOSPITAL, SENECA, SC 29672
(888) 313-5258
(205) 313-5298
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0100
(888) 313-5258
(205) 313-5298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32170
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253093700
—
FL
01
—
27499
BCBSF GRP# 98513
FL
01
—
32170
SOUTH CAROLINA MEDICAL LICENSE
SC
01
—
606478700
DOL GRP#
FL
01
—
G34360
SOUTH CAROLINA MEDICAID #
SC
05
—
G34360
—
SC
Enumeration date
07/07/2005
Last updated
05/25/2021
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