Provider Demographics
NPI:1902944051
Name:HECK, PAUL CHRISTOPHER (CRNP)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:HECK
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-382-2450
Mailing Address - Fax:803-382-2469
Practice Address - Street 1:103 SUMMIT CENTRE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7613
Practice Address - Country:US
Practice Address - Phone:803-382-2450
Practice Address - Fax:803-382-2469
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR143267363LF0000X
SC28761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily