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ROBERT F HEATH MD
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1104822964
Individual Registrant: ROBERT F HEATH MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
179 W DYKES ST COCHRAN, GA 31014-6921 US
Tel: 478-934-8200 Fax: 478-934-8244
Tel: 478-934-8200 Fax: 478-934-8244
Contact information for business:
179 W DYKES ST COCHRAN, GA 31014-6921 US
Tel: 478-934-8200 Fax: 478-934-8244
Tel: 478-934-8200 Fax: 478-934-8244
Registration Information:
NPI: 1104822964
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | GA | 040684 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000682404D | GA | 05 |
