Individual
JAMILA MEAH HECKATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
3912 CANNOCK DR, BIRMINGHAM, AL 35242-5834
(404) 791-4915
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478234121A
—
GA
Enumeration date
01/23/2007
Last updated
03/08/2022
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