Provider Demographics
NPI:1457538944
Name:GATCOMBE, HEATHER GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:GRACE
Last Name:GATCOMBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 MCKINNON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4538
Mailing Address - Country:US
Mailing Address - Phone:404-422-8824
Mailing Address - Fax:
Practice Address - Street 1:1800 HOSPITAL SOUTH DR
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8114
Practice Address - Country:US
Practice Address - Phone:770-948-6000
Practice Address - Fax:770-948-2638
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA636592085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology