MRS. DELORIS ANN HEFNER (NPI# 1104848498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104848498 |
Entity Type | Individual |
Full Name | MRS. DELORIS ANN HEFNER |
Credential | N.P. |
Practice Address |
218 N Fredrick St Dalton GA 30721-3242 |
Mailing Address |
165 Blue Ridge Overlook Blue Ridge GA 30513-4431 |
Practice Telephone | 7065293643 |
Practice Fax Number | 7063747628 |
Mailing Telephone | 7069465602 |
Mailing Fax Number | 7063747628 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2015-05-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN033755 | GA | Nursing Service Providers |
Street Address |
218 N FREDRICK ST |
City | DALTON |
State | GA |
Zip Code | 30721-3242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225399041 | Georgia Mountains Health Services, Inc. | Clinic/Center | 218 N Fredrick St, Dalton, GA 30721-3242 | 2012-06-07 |
1649310236 | Wiley Allen Smith | Family Medicine | 218 N Fredrick St, Dalton, GA 30721-3242 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
Find all providers in zip 30721 |
Taxonomy Code | 163WW0101X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Women's Health Care, Ambulatory |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938720 | Veda N Langford | Registered Nurse | 4117 Lehigh Blvd, Decatur, GA 30034-6036 | 2020-06-29 |
1780041640 | Diane Robillard | Registered Nurse | 3521 Granite Way, Martinez, GA 30907-8969 | 2016-01-24 |
1275915589 | Jennifer Lee Mckinney | Registered Nurse | 2270 Spear Point Trl, Marietta, GA 30062-2548 | 2015-06-23 |
1295141307 | Lara Stephens | Registered Nurse | 3405 Dallas Hwy Sw Ste 505, Marietta, GA 30064-6427 | 2014-07-09 |
1427366590 | Secure Care Augusta, LLC | Registered Nurse | 1520 Monte Sano Ave, Augusta, GA 30904-7808 | 2010-09-22 |
1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
1851555791 | Sharon Delores Baker | Registered Nurse | 2 Downing St Se, Rome, GA 30161-8023 | 2008-07-10 |
1013191626 | Margie Mizell James | Registered Nurse | 57 Holly Oak Trl, Waverly, GA 31565-2504 | 2007-12-19 |
1881813210 | Christine Elizabeth Van Looy | Registered Nurse | 1020 Martin Ridge Rd, Roswell, GA 30076-2854 | 2007-04-24 |
1710047873 | Susan G. Dudley | Registered Nurse | 178 Carrigan Cir, Ringgold, GA 30736-6769 | 2006-12-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.