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1215917182
TROY HEIDESCH
ATHENS, GA
NPI
1215917182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN114218)
Enumeration Date
2006-01-18
Last Update Date
2007-11-08
Business Address
-- TROY HEIDESCH FNP
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-543-3449
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Mailing Address
-- TROY HEIDESCH FNP
PO BOX 48298
ATHENS, GA 30604-8298
Phone number: 706-543-3449
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