Individual
HENRY H. HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6325 W JOHNS XING, DULUTH, GA 30097-1530
(404) 778-5975
(404) 778-2630
Mailing address
531 ASBURY CIRCLE-ANNEX, SUITE N340, ATLANTA, GA 30322-0001
(404) 778-5975
(404) 778-2630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1407
GA
363AM0700X
Medical Physician Assistant
001407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139935198
—
GA
Enumeration date
02/23/2006
Last updated
08/20/2015
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