Individual
HEIDI ANN MANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4510 PREMIER DR STE 102, HIGH POINT, NC 27265-8350
(336) 878-6644
(336) 878-6645
Mailing address
624 QUAKER LN STE 207C, HIGH POINT, NC 27262-3832
(336) 883-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-02008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285053355
—
NC
01
—
NCZ776A
MEDICARE
NC
Enumeration date
04/15/2014
Last updated
04/18/2018
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