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Individual

DR. HEIDI HARRINGTON DELEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
122 OKATIE CENTER BLVD N STE 220, OKATIE, SC 29909-3782
(843) 707-8020
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4268

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
16908
NH
208200000X
Plastic Surgery Physician
Primary
92996
SC
208200000X
Plastic Surgery Physician
MD19151
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3113933
NH
Enumeration date
06/06/2007
Last updated
08/29/2024
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