Individual
LISA E HEICHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 E HOSPITAL ST STE 4, MANNING, SC 29102-3149
(803) 435-8828
(803) 435-2239
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23284
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185243
RAILROAD MEDICARE
SC
01
—
5944657
CIGNA
SC
05
—
T73934
—
SC
Enumeration date
12/23/2005
Last updated
03/31/2021
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