Individual
DR. PONEH HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046
(770) 995-5131
Mailing address
6701 BAUM DR STE 140, KNOXVILLE, TN 37919-7361
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
067409
GA
208000000X
Pediatrics Physician
LL31880
SC
Other
Enumeration date
06/23/2009
Last updated
10/25/2018
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