Burke-Cody, Heather Louise

Burke-Cody, Heather Louise is an sole proprietor health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Burke-Cody, Heather Louise can be contacted via phone (770) 297-2000.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501
Phone: (770) 297-2000
Fax: (770) 534-8139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07151354 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN144938 Georgia

Profile Details

NPI number 1699145060
LBN Legal business name Burke-Cody, Heather Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Oct 25th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699145060 NPPES
Georgia MEDICAID 003206312B
Georgia Other 1642907
Georgia Other 05717668
Georgia MEDICAID 003206312A

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