Robert I Heden
Primary Podiatric Medicine
4439 Roswell Rd
Marietta
, Georgia 30062-6452
Robert I Heden
Primary Podiatric Medicine
4439 Roswell Rd
Marietta
, Georgia 30062-6452
(770) 977-8222
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Robert I Heden
- 4439 Roswell Rd
- Marietta, GA
- Zip : 30062-6452
- Fax : (770) 977-8222
- Phone : (770) 977-8221
Second Address
- Robert I Heden
- 4439 Roswell Rd
- Marietta, GA
- Zip : 30062-6452
- Fax : (770) 977-8222
- Phone : (770) 977-8221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 000457 | GA |
National Provider Identifier
| NPI | 1053470732 |
|---|---|
| Provider Name | Robert I Heden |
| First Address | Marietta, GA 30062-6452 |
| Second Address | Marietta, GA 30062-6452 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 17/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T97641 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.