John Heffernan

NPI #1639392657 in Americus, Georgia

Provider Information

NPI Number
1639392657
Entity Type
Individual
Name
John Heffernan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
100 MEDICAL PARK WAY
State
Georgia
ZIP Code
31709-3656
Phone
(229) 924-7704

Specialties & Taxonomy Codes

Specialty
Dentist

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