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Individual

BERNARD HEIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 259-4435
(706) 226-2283
Mailing address
PO BOX 2563, DALTON, GA 30720-2529
(706) 259-4435
(706) 226-2283

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
052577
GA
207L00000X
Anesthesiology Physician
Primary
052577
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
663Z17573G
GA
01
P00081642
RAILROAD MEDICARE
GA
Enumeration date
06/14/2005
Last updated
12/03/2007
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