| G Craig Heigerick Do Pc | |
|
Suite 5 4153 Lawrenceville Hwy Lilburn GA 30047-2854 | |
| (770) 935-8616 | |
| Not Available |
| Full Name | G Craig Heigerick Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | Suite 5, Lilburn, Georgia |
| Authorized Official Name and Position | Glenn Craig Heigerick (OWNER) |
| Authorized Official Contact | 7709358616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Craig Heigerick Do Pc Suite 5 4153 Lawrenceville Hwy Lilburn GA 30047-2854 Ph: (770) 935-8616 | G Craig Heigerick Do Pc Suite 5 4153 Lawrenceville Hwy Lilburn GA 30047-2854 Ph: (770) 935-8616 |
| NPI Number | 1417139403 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417139403 | NPI | - | NPPES |
| DD4254 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
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