Individual
LARRY K HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
493 BLACKWELL RD, SUITE 101A, WARRENTON, VA 20186-2639
(540) 316-4325
(540) 316-4331
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243352
VA
207R00000X
Internal Medicine Physician
32455
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31770600
—
WI
Enumeration date
08/21/2006
Last updated
08/02/2011
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