Individual
ERIC J HEINZELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 794-4585
(803) 796-8924
Mailing address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 794-4585
(803) 796-8924
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155352
—
SC
Enumeration date
07/11/2006
Last updated
10/11/2007
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