Individual provider · Type 1 NPI

Richard Thomas Heimbecker, P.A.-C

Surgical Physician Assistant · Lawrenceville, GA

NPI number 1124157441 Active

Practice location

631 Professional Dr, Suite 200
Lawrenceville, GA 30046-3367

Fax (678) 312-3529

Mailing address

PO Box 930223
Atlanta, GA 31193-0223

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004977 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1124157441

Richard Thomas Heimbecker, P.A.-C's National Provider Identifier is 1124157441, issued on Mar 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 16, 2020.