Individual
HEATHER MCLAUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
497 ROME ST, CARROLLTON, GA 30117-3108
(770) 462-1047
Mailing address
497 ROME ST, CARROLLTON, GA 30117-3108
(770) 462-1047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3014204
KY
207Q00000X
Family Medicine Physician
RN204752
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
RN204752
GA
363LF0000X
Family Nurse Practitioner
3014204
KY
363LF0000X
Family Nurse Practitioner
Primary
RN204752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861032187
—
KY
Enumeration date
01/14/2020
Last updated
11/10/2022
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