Individual
DR. GEORGE J HEARD JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, SOUTHERN RADIOLOGY ASSOCIATES, LLC, COLUMBIA, TN 38401-4802
(931) 388-1286
(931) 388-7119
Mailing address
1224 TROTWOOD AVE, SOUTHERN RADIOLOGY ASSOCIATES, PLLC, COLUMBIA, TN 38401-4802
(931) 388-1286
(931) 388-7119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD13498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193100
—
TN
01
—
60383
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
09/23/2005
Last updated
07/08/2007
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