Individual
JONATHAN ALLISTER HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37924
TN
208M00000X
Hospitalist Physician
0037924
TN
208M00000X
Hospitalist Physician
Primary
058420
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10075404
AMERIGROUP
GA
01
—
1168583
CIGNA
GA
01
—
2318844
UHC
GA
01
—
244807
WELLCARE
GA
05
—
372473269A
—
GA
05
—
372473269C
—
GA
05
—
372473269D
—
GA
05
—
3889851
—
TN
01
—
4119104
BLUE CROSS BLUE SHIELD
TN
01
—
52205825 001
BCBS
GA
01
—
7133613
AETNA
GA
01
—
P00408939
MEDICARE RAILROAD
GA
Enumeration date
06/05/2006
Last updated
03/17/2018
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