Individual
HEATHER CRANE AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3674 HABERSHAM MILL RD, DEMOREST, GA 30535-2811
(706) 754-2630
(706) 754-2634
Mailing address
163 SULLIVAN DR, HOMER, GA 30547-2256
(706) 865-2134
(706) 243-4613
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN164694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01313996
AMERIGROUP
GA
05
—
191004405A
—
GA
05
—
191004405B
—
GA
05
—
191004405C
—
GA
05
—
191004405D
—
GA
05
—
191004405E
—
GA
01
—
527586
WELLCARE
GA
01
—
527595
WELLCARE
GA
01
—
527602
WELLCARE
GA
01
—
527606
WELLCARE
GA
Enumeration date
05/28/2009
Last updated
07/21/2022
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