NPI 1013787217

Roger Shawn Heatley

Practitioner Driver Bamberg, SC

Practice location

Address: 230 Gene St, Bamberg, SC 29003-8245
Phone: (404) 285-0373

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 007056 (SC)

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Registry record

NPI: 1013787217
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2024
Record last updated: 8 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.