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1770322737
PEYTON RAY HEADDEN
WINSTON SALEM, NC
NPI
1770322737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-14365)
Enumeration Date
2024-05-20
Last Update Date
2024-08-19
Business Address
PEYTON RAY HEADDEN
12208 N NC HIGHWAY 150
WINSTON SALEM, NC 27127-9730
Phone number: 336-764-2324
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Mailing Address
PEYTON RAY HEADDEN
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-764-2324
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