Organization
HEIDI E MIDDENDORF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI ELISE MIDDENDORF M.D. (PRESIDENT, OWNER)
(919) 493-0569
Entity
Organization
Contact information
Practice address
180 PROVIDENCE RD, SUITE 5, CHAPEL HILL, NC 27514-2206
(919) 493-0569
(919) 403-9101
Mailing address
180 PROVIDENCE RD, SUITE 5, CHAPEL HILL, NC 27514-2206
(919) 493-0569
(919) 403-9101
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
39035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58797
BCBS NUMBER
NC
Enumeration date
03/21/2007
Last updated
08/22/2020
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