Individual provider · Type 1 NPI

Heather Tison Sweetwood, PA-C

Medical Physician Assistant · Marietta, GA

NPI number 1629268487 Active

Practice location

61 Whitcher Street NE, Suite 2100
Marietta, GA 30060

Call (770) 423-0595 Map

Fax (678) 391-5055

Mailing address

100 Stoneforest Dr Ste 130
Woodstock, GA 30189-4881

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1629268487

Heather Tison Sweetwood, PA-C's National Provider Identifier is 1629268487, issued on Jul 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marietta, GA. The record was last updated on Sep 30, 2025.