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Individual

DR. ROBERT W HEIDEPRIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 17TH ST STE 200, COLUMBUS, GA 31901-3507
(706) 660-2485
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
00023846
AL
2086S0129X
Vascular Surgery Physician
Primary
109337
GA
2086S0129X
Vascular Surgery Physician
ME159968
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009941562
AL
01
1700875
UNITED HEALTHCARE
AL
01
2081367
CIGNA
AL
01
208500240
AETNA
AL
01
51539627
BLUE CROSS-
AL
01
51540026
BLUE CROSS- ST VINCENTS
AL
01
51540027
BLUE CROSS-TRINITY
AL
01
51544310
BLUE CROSS - PRINCETON
AL
01
51590936
BLUE CROSS- SHELBY
AL
01
H85594
VIVA
AL
01
P00381059
RR MEDICARE
AL
Enumeration date
11/16/2005
Last updated
02/03/2026
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