Howard, Heather Hendon

Howard, Heather Hendon is an individual health care provider with primary practice located at 205 Bankhead Hwy , Carrollton GA 30117-3427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Howard, Heather Hendon can be contacted via phone (770) 832-2005.

Contact Information

Primary practice address
205 Bankhead Hwy Carrollton GA 30117-3427
Phone: (770) 832-2005
Fax: (770) 832-2705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN168272 Georgia

Profile Details

NPI number 1104248095
LBN Legal business name Howard, Heather Hendon
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2014
Last updated Feb 4th, 2015 - about 9 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 1104248095 NPPES
Georgia MEDICAID 003142442B

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