Provider Demographics
NPI:1740780386
Name:HEATH, NATHAN W (PA-C)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:W
Last Name:HEATH
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:812 N HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3901
Mailing Address - Country:US
Mailing Address - Phone:828-215-9602
Mailing Address - Fax:919-747-5271
Practice Address - Street 1:6602 KNIGHTDALE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6526
Practice Address - Country:US
Practice Address - Phone:929-747-5270
Practice Address - Fax:919-747-5271
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2023-01-24
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Provider Licenses
StateLicense IDTaxonomies
NC0010-07924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine