Provider Demographics
NPI:1619164993
Name:SLOAN, HEIDE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:HEIDE
Middle Name:MARIE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4080 MCGINNIS FERRY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3948
Mailing Address - Country:US
Mailing Address - Phone:678-366-1140
Mailing Address - Fax:678-366-1141
Practice Address - Street 1:4080 MCGINNIS FERRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3948
Practice Address - Country:US
Practice Address - Phone:678-366-1140
Practice Address - Fax:678-366-1141
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor