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Individual
HEATHER G. MACNEW
Active
Individual
HEATHER G. MACNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
054411
GA
2086S0102X
Surgical Critical Care Physician
Primary
054411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01280084
AMERIGROUP
—
05
—
416981797A
—
GA
01
—
514632
WELLCARE
GA
05
—
G54411
—
SC
01
—
P00733495
RR MEDICARE
GA
Enumeration date
01/22/2007
Last updated
02/08/2022
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