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Individual

MS. CAROL LYNNE HEGLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1084 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 786-5131
(704) 782-8662
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
5005014
NC
363L00000X
Nurse Practitioner
Primary
5005014
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
273905550
NP CERTIFICATION # A1010095
NC
01
5005014
NP
NC
Enumeration date
09/30/2011
Last updated
05/26/2021
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