Individual
HEATHER S MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4117 N ROXBORO ST, DURHAM, NC 27710-0001
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
077319
MI
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4423954
—
MI
01
—
HM077319
BC/BS
MI
Enumeration date
06/15/2006
Last updated
10/23/2007
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