Individual
HEATHER MARIE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 GREYSTONE CIR, HIRAM, GA 30141-3146
(901) 512-3761
Mailing address
91 GREYSTONE CIR, HIRAM, GA 30141-3146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP715839
GA
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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