Individual
DR. GLENN CRAIG HEIGERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 BEAVER RUIN RD NW, SUITE B, LILBURN, GA 30047-3401
(770) 935-8616
(770) 935-8549
Mailing address
615 BEAVER RUIN RD NW STE B, LILBURN, GA 30047-3401
(770) 935-8616
(770) 935-8549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024947
GA
Other
Enumeration date
12/13/2006
Last updated
12/19/2018
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