DR. Jack David Heneisen, M.D.
NPI #1447310115 in Rincon, Georgia
Provider Information
- NPI Number
- 1447310115
- Entity Type
- Individual
- Name
- DR. Jack David Heneisen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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