Individual
GARY MICHAEL HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
(336) 718-9796
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001546
NC
363LN0000X
Neonatal Nurse Practitioner
5001546
LA
Other
Enumeration date
01/06/2009
Last updated
07/31/2024
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