Individual
HEIDI SUE HANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 737-9250
(706) 733-0697
Mailing address
PO BOX 3967, AUGUSTA, GA 30914-3967
(706) 737-9250
(706) 733-0697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003814
BCBS
GA
01
—
339268
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
756734701C
—
GA
05
—
G52737
—
SC
01
—
P00195299
RRMEDICARE
GA
Enumeration date
10/19/2006
Last updated
01/24/2013
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