Provider Demographics
NPI:1841586856
Name:HEABERLIN, JENNIFER LAMNECK (DO)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LAMNECK
Last Name:HEABERLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:LAMNECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1348 WALTON WAY STE 6700
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-5111
Mailing Address - Country:US
Mailing Address - Phone:706-722-4245
Mailing Address - Fax:706-722-6985
Practice Address - Street 1:20 MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2493
Practice Address - Country:US
Practice Address - Phone:828-254-8232
Practice Address - Fax:828-253-4470
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01377207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology