Provider Demographics
NPI:1619931698
Name:HEFFELFINGER, JAMES DAWSON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAWSON
Last Name:HEFFELFINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 MONTREAL RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-8128
Mailing Address - Country:US
Mailing Address - Phone:770-939-1901
Mailing Address - Fax:770-270-1711
Practice Address - Street 1:1370 MONTREAL RD
Practice Address - Street 2:SUITE 130
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-8128
Practice Address - Country:US
Practice Address - Phone:770-939-1901
Practice Address - Fax:770-270-1711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052186146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate