Doctor Name: | DR. ERICH ROLLAND HEINZ |
NPI Number: | 1902886724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-071861 |
Business Practice Address: | 447 N Belair Rd Ste 101 Evans, GA - 308093091 |
Business Phone Number: | 7068542222 |
Business Fax Number: | 7068542223 |
Mailing Address: | 447 N Belair Rd Ste 101, EVANS |
State: | GA |
Postal Code: | 308093091 |
Phone Number: | 7068542222 |
Fax Number: | 7068542223 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 35-071861 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |