Doctor Name: | DR. TIMOTHY HEILMANN |
NPI Number: | 1659786523 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02004733A |
Business Practice Address: | 1061 Harmon Ave Suite 1d03 Fort Stewart, GA - 313145641 |
Business Phone Number: | 9124355965 |
Business Fax Number: | |
Mailing Address: | 1061 Harmon Ave, Suite 1d03 FORT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9124355965 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2014 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02004733A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |