Individual
JULIUS HEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1690 SKYLYN DRIVE, SUITE 210, SPARTANBURG, SC 29307
(864) 253-8170
(864) 585-7787
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6687
SC
208D00000X
General Practice Physician
Primary
6687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066877
—
SC
01
—
P00386785
MEDICARE RAILROAD PTAN#
GA
01
—
SCE4726084
MEDICARE PIN
SC
Enumeration date
05/19/2006
Last updated
03/22/2019
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