NPI 1053470732

Robert I Heden, DPM

Practitioner Primary Podiatric Medicine Podiatrist Marietta, GA

Practice location

Address: 4439 Roswell Rd, Marietta, GA 30062-6452
Phone: (770) 977-8221
Fax: (770) 977-8222

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 000457 (GA)

Other Podiatrist providers in Georgia →

Registry record

NPI: 1053470732
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2006
Record last updated: 17 Jan 2008

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.