JAMILA MEAH HECKATHORN PA
Nursing Yellow Pages
Marietta, Georgia
Provider NPI: 1629123690
Provider Information:JAMILA MEAH HECKATHORN PA
Practice Location:
677 CHURCH ST NE MARIETTA, GA 30060 US
Tel: 770-794-0477 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 005028 |
N | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 1502 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
478234121A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin