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1790071728
JENNIFER ASHLEY HEAVIN
NEWNAN, GA
NPI
1790071728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN180320)
Enumeration Date
2011-06-28
Last Update Date
2012-08-13
Business Address
-- JENNIFER ASHLEY HEAVIN Nurse Practitioner
775 POPLAR RD SUITE 150
NEWNAN, GA 30265-8300
Phone number: 678-633-3333
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Mailing Address
-- JENNIFER ASHLEY HEAVIN Nurse Practitioner
PO BOX 102321
ATLANTA, GA 30368-2321
Phone number: 770-801-2386
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