Provider Demographics
NPI:1427658368
Name:HECKMANN, GRETA KATHERINE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:KATHERINE
Last Name:HECKMANN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1109 BURLEYSON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3094
Mailing Address - Country:US
Mailing Address - Phone:706-281-8490
Mailing Address - Fax:706-529-8487
Practice Address - Street 1:1109 BURLEYSON RD STE 104
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3094
Practice Address - Country:US
Practice Address - Phone:706-281-8490
Practice Address - Fax:706-529-8487
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN301998363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health