Individual
DR. HEATHER DAWN PACHOLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4000
(704) 983-8250
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3253
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200500230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13933
BLUE CROSS
NC
01
—
2040419A
MEDICARE PTAN
NC
01
—
2040419B
MEDICARE PTAN
NC
01
—
2040419C
MEDICARE PTAN
NC
01
—
2040419D
MEDICARE PTAN
NC
01
—
2544164
UNITED HEALTHCARE
—
05
—
5901549
—
NC
01
—
6365761
CIGNA
—
01
—
806973
PARTNERS
—
01
—
E3975
MEDCOST
—
01
—
P00712368
MEDICARE - RAILROAD
NC
Enumeration date
03/20/2006
Last updated
12/19/2012
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