Individual
DR. SHANE HEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 BLUE RIDGE HWY STE 12, BLAIRSVILLE, GA 30512-4458
(706) 745-4140
Mailing address
108 BLUE RIDGE HWY STE 12, BLAIRSVILLE, GA 30512-4458
(706) 745-4140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010427
GA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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