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Individual

DR. DANIEL JOSEPH HEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 JOHNSON FERRY RD STE 220, MARIETTA, GA 30068-2763
(770) 977-0094
Mailing address
1121 JOHNSON FERRY RD STE 220, MARIETTA, GA 30068-2763
(770) 977-0094

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67754
GA

Other

Enumeration date
06/26/2009
Last updated
06/17/2021
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