Individual
LAURA HEIDELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14330 OAKHILL PARK LN STE 140, HUNTERSVILLE, NC 28078-3480
(704) 316-3492
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020-02872
NC
390200000X
Student in an Organized Health Care Education/Training Program
MD.MD.60940803
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
10/26/2020
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