Heger, Clint R

Heger, Clint R is an individual health care provider with primary practice located at 2855 Lawrenceville Suwanee Rd Ste 330 , Suwanee GA 30024-3572. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Heger, Clint R can be contacted via phone (770) 904-3955.

Contact Information

Primary practice address
2855 Lawrenceville Suwanee Rd Ste 330 Suwanee GA 30024-3572
Phone: (770) 904-3955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1105 Georgia

Profile Details

NPI number 1386241925
LBN Legal business name Heger, Clint R
Credentials MA, ICADCII
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2020
Last updated Oct 7th, 2020 - about 5 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 1386241925 NPPES
Georgia MEDICAID 574369K

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