Bauser-Heaton, Holly
Bauser-Heaton, Holly is an individual health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322-1060. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Bauser-Heaton, Holly can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
1405 Clifton Rd Ne
Atlanta GA 30322-1060
Phone: (404) 256-2593
Fax: (770) 488-9408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 094041 | Georgia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 076296 | Georgia |
Profile Details
NPI number | 1073756631 |
---|---|
LBN Legal business name | Bauser-Heaton, Holly |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2009 |
Last updated | Feb 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073756631 | NPPES |
Georgia | MEDICAID | 003177562B |
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