Organization
BLAIRSVILLE FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LANIER HEATON M.D. (PRESIDENT)
(706) 745-5556
Entity
Organization
Contact information
Practice address
123 WEAVER RD, SUITE B, BLAIRSVILLE, GA 30512-3155
(706) 745-5556
(706) 745-1822
Mailing address
123 WEAVER ROAD, SUITE B, BLAIRSVILLE, GA 30512
(706) 745-5556
(706) 745-1822
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31257
GA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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