Individual
HEATHER TISON SWEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 WHITCHER STREET NE, SUITE 2100, MARIETTA, GA 30060
(770) 423-0595
(678) 391-5055
Mailing address
100 STONEFOREST DR STE 130, WOODSTOCK, GA 30189-4881
(770) 423-0595
(678) 388-1627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005107
STATE LICENSE
GA
Enumeration date
07/27/2007
Last updated
09/30/2025
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