Individual
HEINRICH VON EWEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
330 TURNER MCCALL BLVD SW STE 101, ROME, GA 30165-5631
(706) 291-2745
Mailing address
330 TURNER MCCALL BLVD SW STE 101, ROME, GA 30165-5631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN146338
GA
Other
Enumeration date
05/12/2021
Last updated
08/05/2024
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