Provider Demographics
NPI:1356187736
Name:HESY, ERIKA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HESY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8486 CAMPBELLTON ST UNIT 1457
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30133-0257
Mailing Address - Country:US
Mailing Address - Phone:678-542-0581
Mailing Address - Fax:
Practice Address - Street 1:8486 CAMPBELLTON ST UNIT 1457
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30133-0257
Practice Address - Country:US
Practice Address - Phone:678-542-0581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy