Healthcare Provider Details

I. General information

NPI: 1598688806
Provider Name (Legal Business Name): ANDREW HEATH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 ROSWELL RD STE 154
MARIETTA GA
30062-9058
US

IV. Provider business mailing address

847 MOUNTAIN VIEW TER NW
MARIETTA GA
30064-2089
US

V. Phone/Fax

Practice location:
  • Phone: 678-809-0154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066594
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: