| Heritage Internal Medicine, Inc. | |
|
396 Hwy 441 N Suite A Demorest GA 30535-0579 | |
| (706) 754-3287 | |
| (706) 754-7646 |
| Full Name | Heritage Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 396 Hwy 441 N, Demorest, Georgia |
| Authorized Official Name and Position | Brenda J Garland (OWNER) |
| Authorized Official Contact | 7067543287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Internal Medicine, Inc. Po Box 579 Demorest GA 30535-0579 Ph: (706) 754-3287 | Heritage Internal Medicine, Inc. 396 Hwy 441 N Suite A Demorest GA 30535-0579 Ph: (706) 754-3287 |
| NPI Number | 1215911672 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215911672 | NPI | - | NPPES |
| 005-114-09B | Medicaid | GA | |
| 52415033 002 | Other | GA | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22813 (Georgia) | Primary |
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