Individual
CHRISTOPHER HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 N JEFF DAVIS DR STE 1A, FAYETTEVILLE, GA 30214-1668
(770) 639-5425
Mailing address
265 N JEFF DAVIS DR STE 1A, FAYETTEVILLE, GA 30214-1668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015493
GA
Other
Enumeration date
07/03/2017
Last updated
08/16/2019
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