Provider Demographics
NPI:1447645189
Name:HECK, KARISSA LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:KARISSA
Middle Name:LEIGH
Last Name:HECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1447 YORK CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3361
Mailing Address - Country:US
Mailing Address - Phone:336-436-6152
Mailing Address - Fax:
Practice Address - Street 1:1447 YORK CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3361
Practice Address - Country:US
Practice Address - Phone:336-436-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-02652207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty