Provider Demographics
NPI:1487198776
Name:N HADLEY HEINDEL III, MD, LLC
Entity Type:Organization
Organization Name:N HADLEY HEINDEL III, MD, LLC
Other - Org Name:HEINDEL ENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICING OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:HADLEY
Authorized Official - Last Name:HEINDEL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:770-955-0270
Mailing Address - Street 1:2080 NEWNAN CROSSING BLVD E STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2557
Mailing Address - Country:US
Mailing Address - Phone:770-955-0270
Mailing Address - Fax:770-955-0271
Practice Address - Street 1:2080 NEWNAN CROSSING BLVD E STE 300
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2557
Practice Address - Country:US
Practice Address - Phone:770-955-0270
Practice Address - Fax:770-955-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031939207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty