Individual
DR. SHANNON JEFFERY HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N COX ST STE 28, ASHEBORO, NC 27203-5514
(336) 792-4062
(336) 629-9500
Mailing address
1826 SUNSET BELT, ROCKINGHAM, NC 28379-2743
(910) 995-4259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014494
NC
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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