Individual
HEATHER DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6300 HOSPITAL PKWY, SUITE 400, JOHNS CREEK, GA 30097-1828
(678) 205-4260
(678) 417-7187
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007616
GA
Other
Enumeration date
04/03/2015
Last updated
06/05/2015
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