Heaven, Jordana A

Heaven, Jordana A is an individual health care provider with primary practice located at 2000 Professional Way Ste 200, Woodstock GA 30188. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heaven, Jordana A can be contacted via phone (770) 517-0250.

Contact Information

Primary practice address
2000 Professional Way Ste 200 Woodstock GA 30188
Phone: (770) 517-0250
Fax: (770) 517-0260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 049697 Georgia

Profile Details

NPI number 1104865955
LBN Legal business name Heaven, Jordana A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 3rd, 2011 - about 13 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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