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Individual

MR. DEREK J HEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
808 13TH AVE, ALBANY, GA 31701-1328
(229) 312-7750
(229) 889-7111
Mailing address
808 13TH AVE, ALBANY, GA 31701-1328
(229) 312-7750
(229) 889-7111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049575
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000891195B
GA
05
000891195H
GA
Enumeration date
09/07/2005
Last updated
01/23/2013
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