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Contact Information

ANDREW T HEFFERNAN, MD
115 HALTON VILLAGE CIR
GREENVILLE, SC29607-6825
 Phone: 229-942-5646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREW T HEFFERNAN · (Male)

NPI Number 1851788749
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2015
Last updated 06/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 83652
  • SC Other 83652 SC PERMANENT LICENSE NUMBER
Hospital affiliation(s)
  • ST FRANCIS-DOWNTOWN - (Acute Care)
    ONE ST FRANCIS DR
    GREENVILLE, SC 29601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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