Individual
DR. GREGORY HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-1010
Mailing address
PO BOX 2, MILTON, KY 40045-0002
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01032597
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22819
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220020944
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
06/04/2024
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