National Provider Identifier Database

HEARTLAND HEALTHCARE PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

HEARTLAND HEALTHCARE PC
327 S.9TH ST
GRIFFIN, GA30224-4111
Phone: 770-233-9293
Fax: 770-233-0998
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Legal Medicine 173000000X

* Indicates primary specialty

NPI Profile & details for HEARTLAND HEALTHCARE PC

NPI Number 1407902638
Legal business name
LBN
HEARTLAND HEALTHCARE PC
Authorized official LAURIE KELLEY - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/29/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 031590
  • GA License #: 044231
  • GA Medicaid: 00828055F
  • GA Medicaid: 00828055G

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.

Reviews for HEARTLAND HEALTHCARE PC

There are currently no reviews for HEARTLAND HEALTHCARE PC


NPIdb - Home
v2.201