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DR. LARRY E HEIT M.D.

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750388245

Individual Registrant:
DR. LARRY E HEIT M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11690 ALPHARETTA HWY  ROSWELL, GA 30076-3805 US
Tel: 770-475-5515  Fax: 770-343-8884

Contact information for business:
5901 PEACHTREE DUNWOODY RD NE SUITE C-370 ATLANTA, GA 30328-5382 US
Tel: 678-892-2020  Fax: 678-538-1950

Registration Information:
NPI: 1750388245
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
GA041136

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA HMO466869GA01
AUSHC HMO0583219GA01
RR MEDICARE180025204GA01
BCBS591397GA01
WELLCARE294537GA01
UHC0800030GA01
AETNA4668692GA01
00678026AGA05
COVENTRY PPO08493GA01
COVENTRY HMO13354GA01




HEALTH CARE JOBS GA - Page 1



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