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Individual

MISS RACHEL JANE HEIDGERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 847-9999
(404) 531-8466
Mailing address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 847-9999

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AC001031
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
RN281462
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003160740A
GA
05
010296900
FL
Enumeration date
07/11/2012
Last updated
03/04/2020
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