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Individual

DAVID D'HEURLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 PEACHTREE ST NW, SUITE 932, ATLANTA, GA 30309-2449
(404) 351-0590
Mailing address
3619 HADDEN HALL RD NW, ATLANTA, GA 30327-2627
(404) 365-8707

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026096
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00284501E
GA
01
180040998
RR MEDICARE
GA
01
2384694
AETNA
GA
01
3383779
CIGNA
GA
01
52291515001
BC/BS
GA
01
WFC13
EMPIRE BC
GA
Enumeration date
09/28/2006
Last updated
06/15/2008
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