Provider Demographics
NPI:1306022801
Name:NORMAN, HEIDI AMANDA (DC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:AMANDA
Last Name:NORMAN
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:1203 F OLD TROLLEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-5296
Mailing Address - Country:US
Mailing Address - Phone:843-486-0999
Mailing Address - Fax:843-486-0989
Practice Address - Street 1:6460 HIGHWAY 92
Practice Address - Street 2:SUITE 100
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-2998
Practice Address - Country:US
Practice Address - Phone:770-926-2212
Practice Address - Fax:770-926-2242
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2015-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC3773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor