Individual
DR. CAROL A HEEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 W CHURCH ST, STE. E, BATESBURG-LEESVILLE, SC 29006-2107
(803) 532-2208
(803) 604-0207
Mailing address
PO BOX 3788, SUITE 300, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL7687
—
SC
Enumeration date
03/16/2006
Last updated
11/01/2013
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