| Doctor Name: | HEATHER TROTTER |
| NPI Number: | 1770969669 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 19632 |
| Business Practice Address: | 100 Ridge Medical Plaza Rd Edgefield, SC - 298244535 |
| Business Phone Number: | 8036373630 |
| Business Fax Number: | |
| Mailing Address: | 100 Ridge Medical Plaza Rd, EDGEFIELD |
| State: | SC |
| Postal Code: | 298244535 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2015 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 19632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |