Provider Demographics
NPI:1750388245
Name:HEIT, LARRY E (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:E
Last Name:HEIT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5901 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE C-370
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:678-538-1950
Practice Address - Street 1:11690 ALPHARETTA HWY
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-3805
Practice Address - Country:US
Practice Address - Phone:770-475-5515
Practice Address - Fax:770-343-8884
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA041136207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA08493OtherCOVENTRY PPO
GA0583219OtherAUSHC HMO
GA0800030OtherUHC
GA00678026AMedicaid
GA591397OtherBCBS
GA13354OtherCOVENTRY HMO
GA294537OtherWELLCARE
GA466869OtherAETNA HMO
GA4668692OtherAETNA
GA180025204OtherRR MEDICARE
GA13354OtherCOVENTRY HMO
1078920001Medicare NSC
GA0800030OtherUHC