Provider Demographics
NPI:1477620813
Name:GARRISON, HEATHER M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:GARRISON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:M
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1380 EASTCHESTER DR STE 111
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2658
Mailing Address - Country:US
Mailing Address - Phone:336-885-5033
Mailing Address - Fax:336-885-5036
Practice Address - Street 1:109 PENNY RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-2500
Practice Address - Country:US
Practice Address - Phone:336-821-4067
Practice Address - Fax:336-821-4046
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-00819207R00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine