Individual
HEIDI E KIRK-SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3791 DEATON TRL, BUFORD, GA 30519-1111
(706) 572-7400
Mailing address
3791 DEATON TRL, BUFORD, GA 30519-1111
(706) 572-7400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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