Provider Demographics
NPI:1548676620
Name:SINNER, HEATHER FROHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:FROHMAN
Last Name:SINNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:FROHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-295-9044
Mailing Address - Fax:704-671-7396
Practice Address - Street 1:620 SUMMIT CROSSING PL STE 108B
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2189
Practice Address - Country:US
Practice Address - Phone:704-295-9044
Practice Address - Fax:704-671-7396
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3487208600000X
390200000X
FLME152903208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program