Individual
JACQUES J HEIBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 TROTWOOD AVE, SUITE 401, COLUMBIA, TN 38401-6433
(931) 388-8622
(931) 388-8227
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303A, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379860
—
TN
05
—
3804533
—
TN
01
—
4041153
BCBS TN
TN
Enumeration date
12/18/2006
Last updated
05/03/2012
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