Organization
TRIANGLE DERMATOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG STEPHEN HEINLY M.D. (OWNER)
(919) 286-7903
Entity
Organization
Contact information
Practice address
3008 PICKETT RD, DURHAM, NC 27705-6006
(919) 286-7903
(919) 286-7151
Mailing address
3008 PICKETT ROAD, DURHAM, NC 27705-6006
(919) 286-7903
(919) 286-7151
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279M
BLUE CROSS BLUE SHIELD
NC
05
—
5920257
—
NC
Enumeration date
05/20/2006
Last updated
09/26/2017
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