Individual
DR. HEATHER A MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 NASHVILLE HWY, COLUMBIA, TN 38401
(931) 388-8965
(931) 388-0815
Mailing address
1600 NASHVILLE HWY, COLUMBIA, TN 38401
(931) 388-8965
(931) 388-0815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
238606
NY
208000000X
Pediatrics Physician
Primary
MD44004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511458
—
TN
Enumeration date
04/10/2006
Last updated
03/18/2014
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