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Individual

MR. ALEXANDER HECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1505 NORTHSIDE FORSYTH DR, STE 3500, CUMMING, GA 30041
(770) 667-4337
(770) 667-4338
Mailing address
1505 NORTHSIDE FORSYTH DR, STE 3500, CUMMING, GA 30041
(770) 667-4337
(770) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007805
GA
363A00000X
Physician Assistant
PA20597
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003174364E
GA
05
003174364F
GA
05
003174364G
GA
Enumeration date
10/09/2009
Last updated
01/25/2017
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