Dr. Jack D. Heneisen M.D.
Family Medicine Physician in Rincon, GA(View on Map)
Full Name
Dr. Jack David Heneisen M.D.
NPI Number
1447310115
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/11/2006
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
022780
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2089
1214 N COLUMBIA AVE.
City
Rincon
Rincon
State
GA
GA
Postal Code
31326-2089
31326
Country
US
US
Telephone Number
(912) 826-2132
(912) 826-2132
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
Other Family Medicine Physicians in Rincon, Georgia:
Slavko Kukucka M.D.
Rincon, GASpecialties: Urgent Care Clinic/Center (Primary)Family Medicine Physician
Sophia Brinkley MD
Rincon, GASpecialties: Family Medicine Physician (Primary)Student in an Organized Health Care Education/Training Program