Individual
PATRICK F HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1140 13TH ST, COLUMBUS, GA 31901-2204
(706) 324-2073
(706) 323-9435
Mailing address
1140 13TH ST, COLUMBUS, GA 31901-2204
(706) 324-2073
(706) 323-9435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000472854J
—
GA
05
—
009983630
—
AL
01
—
52048528003
BCBS OF GA
GA
Enumeration date
09/29/2006
Last updated
01/11/2012
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