Provider Demographics
NPI:1144342544
Name:WORCESTER, HEATH DELTON (MD)
Entity type:Individual
Prefix:DR
First Name:HEATH
Middle Name:DELTON
Last Name:WORCESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6166
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-6166
Mailing Address - Country:US
Mailing Address - Phone:843-664-4314
Mailing Address - Fax:
Practice Address - Street 1:805 PAMPLICO HWY STE B210
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6064
Practice Address - Country:US
Practice Address - Phone:843-664-4314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0051654207ZP0102X, 207ZP0102X
SC34183207ZP0102X
FLME110833207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology