Organization
HEATON, HEATON & JAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY HEATON MD (PRESIDENT)
(812) 265-5211
Entity
Organization
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-1010
Mailing address
PO BOX 2, MILTON, KY 40045-0002
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB5250
RAILROAD
—
Enumeration date
11/16/2005
Last updated
03/18/2008
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