Individual
MS. JOANN A. HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 NC HWY 108, RUTHERFORDTON, NC 28139-7871
(828) 286-2302
(828) 287-4320
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102134
NC
363A00000X
Physician Assistant
642
NC
363AM0700X
Medical Physician Assistant
16313
CA
363AM0700X
Medical Physician Assistant
3205
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01330103
RAILROAD MEDICARE
SC
Enumeration date
02/05/2007
Last updated
08/14/2014
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