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Individual

STEPHEN H HEFFINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1222 TROTWOOD AVE, SUITE 207, COLUMBIA, TN 38401-6436
(931) 840-5088
(931) 840-5086
Mailing address
2304 COUNTRY CLUB LN, SUITE 303B, COLUMBIA, TN 38401-5172
(931) 334-1455

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38435
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3725470
TN
05
3894624
TN
01
4086717
BCBS TN
TN
Enumeration date
12/12/2006
Last updated
06/10/2016
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