Individual
DR. JAMES LANIER HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
637 DEEP SOUTH FARM RD, BLAIRSVILLE, GA 30512-2276
(706) 745-5556
(706) 745-1822
Mailing address
PO BOX 2689, BLAIRSVILLE, GA 30514-2689
(706) 745-5556
(706) 745-1822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031257
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426126C
—
GA
05
—
890574T
—
NC
Enumeration date
07/07/2006
Last updated
08/11/2014
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