TROY HEIDESCH

ATHENS, GA
NPI1215917182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN114218)
Enumeration Date2006-01-18
Last Update Date2007-11-08
Business Address
-- TROY HEIDESCH FNP
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-543-3449
Mailing Address
-- TROY HEIDESCH FNP
PO BOX 48298
ATHENS, GA 30604-8298
Phone number: 706-543-3449