Individual
DR. CHRISTOPHER R HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 396-5292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101236961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010103100
—
VA
Enumeration date
06/16/2005
Last updated
10/25/2020
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