Provider Demographics
NPI:1285686949
Name:ALDAY, HEATHER A (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:A
Last Name:ALDAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0309
Mailing Address - Country:US
Mailing Address - Phone:706-576-5539
Mailing Address - Fax:706-576-5428
Practice Address - Street 1:5027 15TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5741
Practice Address - Country:US
Practice Address - Phone:706-576-5539
Practice Address - Fax:706-576-5428
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCGPGMedicare PIN
GAU85097Medicare UPIN