Individual
HEATHER ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(423) 664-4460
Mailing address
3700 SUGAR VALLEY RD NW, SUGAR VALLEY, GA 30746-5026
(706) 271-5374
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN175981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN175981
LICENSE
GA
Enumeration date
09/11/2025
Last updated
09/11/2025
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