Heery, Lee Bruce

Heery, Lee Bruce is an individual health care provider with primary practice located at 7000 Wellness Way Suite 7230, St. Simons Island GA 31522-2286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heery, Lee Bruce can be contacted via phone (912) 634-2795.

Contact Information

Primary practice address
7000 Wellness Way Suite 7230 St. Simons Island GA 31522-2286
Phone: (912) 634-2795
Fax: (912) 638-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 040095 Georgia

Profile Details

NPI number 1699873299
LBN Legal business name Heery, Lee Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699873299 NPPES
North Carolina MEDICAID 891246N

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