Individual
HEATHER G. MACNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404-6278
(912) 350-7412
(912) 350-7297
Mailing address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404-6278
(912) 350-7412
(912) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
054411
GA
2086S0102X
Surgical Critical Care Physician
Primary
054411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01280084
AMERIGROUP
—
05
—
416981797A
—
GA
01
—
514632
WELLCARE
GA
05
—
G54411
—
SC
01
—
P00733495
RR MEDICARE
GA
Enumeration date
01/22/2007
Last updated
02/08/2022
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