Individual
ELIZABETH LAURA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3672 MARATHON CIR STE 200, AUSTELL, GA 30106-6821
(770) 944-3303
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9348
GA
Other
Enumeration date
06/06/2019
Last updated
09/10/2019
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