Individual
DR. STEVEN B HEAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13532 STEELECROFT PKWY, CHARLOTTE, NC 28278-7545
(704) 295-3475
(704) 295-3476
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
200700368
NC
207Y00000X
Otolaryngology Physician
MD40839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292751
UNISON HEALTH PLAN OF SC
SC
01
—
147TU
BCBSNC
NC
01
—
20096068
SELECT HEALTH OF SC
SC
01
—
4997345
CIGNA HEALTHCARE
NC
05
—
5907396
—
NC
01
—
7494811
AETNA
NC
01
—
773189
WELLCARE
SC
05
—
N68007
—
SC
01
—
P00751041
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
04/23/2021
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