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Individual

MRS. HEATHER ZUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9606 BAILEY RD, SUITE 250, CORNELIUS, NC 28031-6109
(704) 896-8688
(704) 896-7975
Mailing address
9606 BAILEY RD, SUITE 250, CORNELIUS, NC 28031-6109
(704) 896-8688
(704) 896-7975

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7463
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0516G
BLUECROSS BLUESHIELD NC
NC
05
7210492
NC
Enumeration date
09/25/2006
Last updated
07/08/2007
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