Heard, George J

Heard, George J is an individual health care provider with primary practice located at 1224 Trotwood Ave Southern Radiology Associates, Llc, Columbia TN 38401-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Heard, George J can be contacted via phone (931) 388-1286.

Contact Information

Primary practice address
1224 Trotwood Ave Southern Radiology Associates, Llc Columbia TN 38401-4802
Fax: (931) 388-7119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD13498 Tennessee

Profile Details

NPI number 1740276724
LBN Legal business name Heard, George J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1740276724 NPPES
Tennessee Other 60383 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 3193100 BLUE CROSS PROVIDER NUMBE

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