G Craig Heigerick Do Pc

NPI 1417139403 - Family Medicine - 207Q00000X

NPI Details
NPI 1417139403
Enumeration Date 11/30/2007
Last Updated 11/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLENN CRAIG GLENN
Position OWNER
Phone (770) 935-8616
Fax
Practice Location
SUITE 5
4153 LAWRENCEVILLE HWY
LILBURN GA, 30047-2854, US
Phone (770) 935-8616
Fax
Business Location
SUITE 5
4153 LAWRENCEVILLE HWY
LILBURN GA, 30047-2854, US
Phone (770) 935-8616
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, G Craig Heigerick Do Pc NPI is 1417139403, taxonomy code is 207Q00000X G Craig Heigerick Do Pc physically located at Suite 5, Lilburn GA, 30047-2854. NPI Number 1033115704 has the healthcare provider type.

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1417139403 NPI number is provided on an as is basis without warranty of any kind. 1417139403 is maintained by the National Plan & Provider Enumeration System. The contents of G Craig Heigerick Do Pc are for informational purposes only.