Provider Demographics
NPI:1447485818
Name:HEATH, JONATHON (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:
Last Name:HEATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:CB #7085
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7085
Mailing Address - Country:US
Mailing Address - Phone:984-974-1931
Mailing Address - Fax:984-974-2216
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:CB #7085
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7085
Practice Address - Country:US
Practice Address - Phone:984-974-1931
Practice Address - Fax:984-974-2216
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2013-00011208000000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine