Individual
MR. JURIAAN MARTIJN VAN DER HEIJDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5303 ADAMS ST NE STE A, COVINGTON, GA 30014-6209
(770) 554-5009
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12746623
CAQH NUMBER
—
Enumeration date
08/16/2005
Last updated
01/29/2026
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