Provider Demographics
NPI:1548388077
Name:GJORGJIEVSKI, HEATHER D (DO)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:GJORGJIEVSKI
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:720 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2626
Mailing Address - Country:US
Mailing Address - Phone:615-778-4066
Mailing Address - Fax:615-778-9114
Practice Address - Street 1:103 HILLTOP VILLAGE SHOPPING CENTER DR.
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025
Practice Address - Country:US
Practice Address - Phone:365-876-3506
Practice Address - Fax:314-529-0699
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2019-09-16
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Provider Licenses
StateLicense IDTaxonomies
MO2006028758207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine