SearchGeorgia164W00000X

Samantha Heard, LPN

NPI 1649453622 · on the registry since 2007 · sole proprietor

Practice

Address
11 Oakridge Drive
Carrollton, GA 30116
Phone
(678) 855-4410

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
3747P1801X
376J00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia