Individual
DAVID PRINCE HEANER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3120 MEDLOCK BRIDGE RD STE 100, PEACHTREE CORNERS, GA 30071-1460
(770) 840-9940
Mailing address
3120 MEDLOCK BRIDGE RD STE 100, PEACHTREE CORNERS, GA 30071-1460
(770) 840-9940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99272
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
09/12/2025
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