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Individual

MRS. HEATHER BAGWELL WESTMORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1110 W PEACHTREE ST NW STE 900, ATLANTA, GA 30309-3609
(404) 962-6000
(404) 962-6001
Mailing address
1110 W PEACHTREE ST NW STE 920, ATLANTA, GA 30309-3609
(404) 962-6000
(404) 962-6001

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
063046
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
063046
GA MEDICAL LICENSE
GA
05
495252668A
GA
05
495252668B
GA
05
495252668C
GA
05
495252668D
GA
Enumeration date
03/03/2008
Last updated
10/12/2020
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