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NPI Code Detail

MEDICARE: EMMA CATHERINE HEIDEN

MEDICARE: EMMA CATHERINE HEIDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN320121GA

General Provider Information

NPI Number : 1629927447
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CATHERINE HEIDEN
Provider Business Mailing Address
First Line : 2800 GLASS MILL RD
Second Line :
City : CHICKAMAUGA
State : GA
Zip : 30707-3474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 MEMORIAL DR
Second Line :
City : DALTON
State : GA
Zip : 30720-2529
Country : US
Telephone Number : 706-272-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ EMMA CATHERINE HEIDEN ” Practice Location

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