Provider Demographics
NPI:1336442037
Name:HELDZINGER, DEREK (MD)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:
Last Name:HELDZINGER
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 1:743 BANTHER RD
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:TN
Mailing Address - Zip Code:37353-5024
Mailing Address - Country:US
Mailing Address - Phone:423-827-9222
Mailing Address - Fax:706-952-1395
Practice Address - Street 1:1107 MEMORIAL DR STE 201
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8662
Practice Address - Country:US
Practice Address - Phone:706-277-7311
Practice Address - Fax:706-272-3512
Is Sole Proprietor?:No
Enumeration Date:2010-12-18
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA65259207Q00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine