Individual
EMORY WILLIAM HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSI
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(208) 814-0192
Mailing address
141 COX ST APT 34, AUBURN, AL 36832-7708
(256) 479-8718
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S13130
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1311890
NABP
AL
Enumeration date
01/14/2021
Last updated
01/14/2021
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